SHIVAJI R GUNALE (NPI# 1598737512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598737512 |
| Entity Type | Individual |
| Full Name | SHIVAJI R GUNALE |
| Credential | M.D. |
| Practice Address |
7229 Clearvista Dr Indianapolis IN 46256-1698 |
| Mailing Address |
115 W 19th St Indianapolis IN 46202-1310 |
| Practice Telephone | 3176214300 |
| Practice Fax Number | 3176214301 |
| Mailing Telephone | 3179244022 |
| Mailing Fax Number | 3179244233 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2008-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
01026038A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN (CHOP) | 000000489292 | 01 |
| IN | ANTHEM PIN (QOC) | 000000527371 | 01 |
| IN | CIGNA PIN | 2107420 | 01 |
| IN | AETNA PIN | 4004226 | 01 |
| IN | ANTHEM PIN (ICCC) | 000000247011 | 01 |
| IN | 100323770 | 05 |
| Street Address |
7229 CLEARVISTA DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718579 | Jianan Graybill | Radiology | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2005-05-27 |
| 1760878805 | Jennifer L Christophel Lichti | Social Worker | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2015-04-15 |
| 1891197331 | Rachael Ann Ash | Nurse Practitioner | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2014-09-16 |
| 1144664665 | Deetta Kay Vance | Registered Nurse | 7229 Clearvista Dr, Indianapolis, IN 46256 | 2013-04-26 |
| 1487982500 | Mary Ann Crawford | Nurse Practitioner | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2009-12-01 |
| 1790979748 | Community Hospitals of Indiana, Inc | Psychiatry & Neurology | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2007-09-04 |
| 1811106032 | Indianapolis Neurosurgical Group | Neurological Surgery | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2007-05-22 |
| 1780752014 | Chandrika Patel | Radiology | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2006-12-04 |
| 1679668735 | Darrel Lawrence Ross | Radiology | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2006-10-04 |
| 1356375299 | Community Hospitals Oncology Physicians LLC | Internal Medicine | 7229 Clearvista Dr, Indianapolis, IN 46256-1698 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1558547588 | Sarah Ali | Internal Medicine | 8111 S Emerson Ave Ste 102, Indianapolis, IN 46237-8601 | 2008-01-22 |
| 1821274101 | Oncology Hematology Care Center Inc | Internal Medicine | 1440 E County Line Rd, Indianapolis, IN 46227-0963 | 2008-01-16 |
| 1659582120 | American Health Network of Indiana, LLC | Internal Medicine | 1828 N Illinois St, Indianapolis, IN 46202-1318 | 2007-05-25 |
| 1669687331 | Indiana Oncology Hematology Consultants | Internal Medicine | 6925 Shore Ter, Indianapolis, IN 46254-4675 | 2007-05-14 |
| 1306065446 | Taylor M Ortiz | Internal Medicine | 8111 S. Emerson Ave Suite 101, Indianapolis, IN 46237-8325 | 2007-04-25 |
| 1164567871 | Christopher Alan Slapak | Internal Medicine | The Wishard Hospital Hematology Clinic, 1050 Wishard Blvd, Indianapolis, IN 46202 | 2007-02-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.