POLLY GERHARDT NICELY (NPI# 1649506510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649506510 |
| Entity Type | Individual |
| Full Name | POLLY GERHARDT NICELY |
| Credential | M.D. |
| Practice Address |
6392 Oxbow Way Indianapolis IN 46220-7109 |
| Practice Telephone | 3174751505 |
| Practice Fax Number | 3174751506 |
| Mailing Telephone | 3174751505 |
| Mailing Fax Number | 3174751506 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01026325A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
6392 OXBOW WAY |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| 1851740302 | Calmare Treatment Center | General Practice | 5135 S Emerson Ave Ste C, Indianapolis, IN 46237-1967 | 2016-06-06 |
| 1518326248 | Afc Physicians of Indiana PC | General Practice | 7411 N. Keystone Ave., Suite B, Indianapolis, IN 46240-3375 | 2016-02-23 |
| 1104211929 | Elizabeth Starr Parkin | General Practice | 11834 Sea Star Dr, Indianapolis, IN 46256-9647 | 2015-03-30 |
| 1871931881 | Janel Lorrie Lewis | General Practice | 11550 Boone Dr, Indianapolis, IN 46229-9606 | 2013-06-12 |
| 1548604812 | James Grant Armstrong | General Practice | 3633 E 71st St, Indianapolis, IN 46220-3715 | 2013-04-17 |
| 1891016812 | Albert Franklin Crumley | General Practice | 416 Daffon Dr, Indianapolis, IN 46227-2702 | 2010-06-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on POLLY GERHARDT NICELY.
| 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.