DR SEGUN RASAKI MD LLC (NPI# 1669692513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669692513 |
| Entity Type | Organization |
| Organization Name | DR SEGUN RASAKI MD LLC |
| Practice Address |
3266 N Meridian St Suite 601 Indianapolis IN 46208-5846 |
| Practice Telephone | 3179269600 |
| Practice Fax Number | 3179269604 |
| Mailing Telephone | 3179269600 |
| Mailing Fax Number | 3179269604 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SEGUN M RASAKI (PHYSICIAN) |
| Authorized Official Telephone | 3179269600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
01061519A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
3266 N MERIDIAN ST SUITE 601 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46208-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729137 | Karen S Rance | Registered Nurse | 3266 N Meridian St, Suite 900, Indianapolis, IN 46208-5846 | 2005-06-08 |
| 1003437278 | Hayley Norwood Holmes | Registered Nurse | 3266 N Meridian St, Indianapolis, IN 46208-5846 | 2020-04-29 |
| 1114323151 | Imsg Inc. | Clinic/Center | 3266 N Meridian St, Suite 708, Indianapolis, IN 46208-5846 | 2014-11-18 |
| 1578964169 | Katherine Ann Back | Nurse Practitioner | 3266 N Meridian St, Indianapolis, IN 46208-5846 | 2014-09-15 |
| 1598188260 | Meridian Medical Services Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3266 N Meridian St, Suite 101, Indianapolis, IN 46208 | 2014-01-30 |
| 1336562578 | Meridian Medical Services Inc | Radiology | 3266 N Meridian St, Suite 101, Indianapolis, IN 46208 | 2014-01-23 |
| 1568691699 | Phyllis I Okolo | Internal Medicine | 3266 N Meridian St, Indianapolis, IN 46208-5846 | 2009-07-10 |
| 1255579942 | Meridian Medical Services, Inc | Radiology | 3266 N Meridian St, Suite 101, Indianapolis, IN 46208-5846 | 2009-02-03 |
| 1265632566 | Tammie Rena Maiden | Nurse Practitioner | 3266 N Meridian St, Indianapolis, IN 46208 | 2007-07-24 |
| 1912100694 | Meridian Foot and Ankle Center | Podiatrist | 3266 N Meridian St, Suite 802, Indianapolis, IN 46208-5846 | 2007-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650924 | Kristine M Sullivan | Dietitian, Registered | 2700 Doctor M.l.k. Jr St., Indianapolis, IN 46208 | 2017-03-13 |
| 1760877591 | Michael A. Davis, D.d.s. Family Dental LLC | Dentist | 3737 N. Meridian Ste. 410, Indianapolis, IN 46208 | 2015-03-30 |
| 1831432574 | Curtis Stennett | Psychiatry & Neurology | 563 W Westfield Blvd, Indianapolis, IN 46208 | 2013-04-01 |
| 1417206392 | Planned Parenthood of Indiana Midtown | Clinic/Center | 3750 N. Meridian St., Suite 100, Indianapolis, IN 46208 | 2012-09-06 |
| 1629216932 | Mary Carol Calloway Follman | Occupational Therapist | 5502 N. Kenwood Ave., Indianapolis, IN 46208 | 2009-01-23 |
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1285846360 | Midwest Residential Services, Inc. | Preferred Provider Organization | 2425 N. Meridian Street, Suite B, Indianapolis, IN 46208 | 2007-05-03 |
| 1881814879 | Cheryl Ann Moore | Social Worker | 3171 N. Meridian Street, Indianapolis, IN 46208 | 2007-05-01 |
| 1679612881 | Kenneth Ackles Sr. | Chiropractor | 3231 North Meridian Street, Suite 502, Indianapolis, IN 46208 | 2007-02-05 |
| 1013062918 | William D. Alexy | Psychologist | 6110 N. Meridian, W.dr, Indianapolis, IN 46208 | 2007-01-24 |
| Find all providers in zip 46208 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366901696 | Signal Business Administration Inc | Family Medicine | 135 Jordan Rd, Indianapolis, IN 46217-4003 | 2019-03-16 |
| 1700393741 | Jeffrey N De Wester Treatment and Research Center, LLC | Family Medicine | 6447 S East St Ste C, Indianapolis, IN 46227-2119 | 2017-12-29 |
| 1568413680 | J Nathan Sherlock | Family Medicine | 1241 Central Ave, Indianapolis, IN 46202-2613 | 2006-05-13 |
| 1275511586 | Rodney J Anderson | Family Medicine | 1300 N Pennsylvania St, Suite 200, Indianapolis, IN 46202-4453 | 2006-01-06 |
| 1811407729 | Eskenazi Medical Group Inc | Family Medicine | 720 Eskenazi Avenue, Fifth Third Bank Building, Ste. F1-200, Indianapolis, IN 46202-5166 | 2017-10-05 |
| 1568881076 | Dtrc, LLC | Family Medicine | 6447 S East St, Suite C, Indianapolis, IN 46227-2118 | 2014-04-11 |
| 1477820017 | A Klas Association | Family Medicine | 1829 Brassica Ln, Blgd. A, Indianapolis, IN 46217-7095 | 2011-11-28 |
| 1043590102 | Kennard B Sproul | Family Medicine | 1481 W 10th St, Va Medical Center, Indianapolis, IN 46202-2803 | 2011-08-22 |
| 1508886474 | Robert B Barber | Family Medicine | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2006-07-20 |
| 1346271574 | Freida R Thompson | Family Medicine | 4880 Century Plaza Rd, Ste 265, Indianapolis, IN 46254-5471 | 2006-07-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46208 |
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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.