DR. GAIL LYNNE GOETTLER (NPI# 1679577282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679577282 |
| Entity Type | Individual |
| Full Name | DR. GAIL LYNNE GOETTLER |
| Credential | MD |
| Practice Address |
1030 E County Line Road Suite B-2 Indianapolis IN 46277-0001 |
| Practice Telephone | 3178876060 |
| Practice Fax Number | 3178595946 |
| Mailing Telephone | 3178876060 |
| Mailing Fax Number | 3178595946 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01036971 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100351160 | 05 | |
| IN | ANTHEM | 000000087993 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1703 W Stones Crossing Rd Ste 330, Greenwood, IN 461438558 | 3178876060 |
| Street Address |
1030 E COUNTY LINE ROAD SUITE B-2 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46277-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306922406 | Rebecca L Wheeler | Speech-Language Pathologist | 6249 S East St, Suite E, Indianapolis, IN 46277-0001 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083455 | Tara Higgins | Licensed Practical Nurse | 4063 Presidio Cir, Indianapolis, IN 46235-9000 | 2020-11-08 |
| 1023619947 | Kyra Cooke | Registered Nurse | 5570 Goodwin St, Indianapolis, IN 46234 | 2020-11-06 |
| 1861093676 | Life Skills Unlimited LLC | Clinic/Center | 6433 E Washington St Ste 185, Indianapolis, IN 46219-6624 | 2020-11-06 |
| 1134720147 | Ms Vibbert Dds PC | Clinic/Center | 7301 Georgetown Rd Ste 113, Indianapolis, IN 46268-4157 | 2020-11-05 |
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1811598139 | Keyana Boyd | Chore Provider | 4131 N Audubon Rd, Indianapolis, IN 46226-4742 | 2020-11-03 |
| 1144821570 | Paige Homecare LLC | In Home Supportive Care | 4806 E 30th St Ste B, Indianapolis, IN 46218-3110 | 2020-11-03 |
| 1083215305 | Mercy Services, LLC | In Home Supportive Care | 3960 Southeastern Ave Ste 113, Indianapolis, IN 46203-1571 | 2020-11-03 |
| 1447851928 | Alicia Helene Wojciechowski | Pharmacist | 5829 N New Jersey St, Indianapolis, IN 46220-2534 | 2020-11-02 |
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| Find all providers in INDIANAPOLIS | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
| 1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
| 1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
| 1477915791 | Sarah Patton Supples | Pediatrics | 705 Riley Hospital Dr Roc4340, Indianapolis, IN 46202 | 2016-03-25 |
| 1801283205 | Korre Leigh Fairman | Pediatrics | 1030 W Michigan St Ste C4600, Indianapolis, IN 46202 | 2015-04-23 |
| 1912393240 | Dana Nezon | Pediatrics | Windrose Health Network - Epler Park, 5550 S. East St., Indianapolis, IN 46227 | 2015-04-14 |
| 1922412162 | Jodie Meara | Pediatrics | Riley Children's Hospital Ri 3006 Phase IIi, 705 Riley Hospital Drive, Indianapolis, IN 46202 | 2014-06-16 |
| 1265877690 | Kristen Mary Schroeder | Pediatrics | 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202-2872 | 2013-04-29 |
| 1396189056 | Jessica Lucille Horan | Pediatrics | 699 Riley Hospital Dr, Room Rr 208, Indianapolis, IN 46202-5119 | 2013-04-24 |
| 1841581311 | Meaghan Elisabeth Keller | Pediatrics | 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 | 2011-05-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46277 |
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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.