DR. TROY GLENN PFEFFERKORN (NPI# 1700815610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700815610 |
| Entity Type | Individual |
| Full Name | DR. TROY GLENN PFEFFERKORN |
| Credential | M.D. |
| Practice Address |
1481 W 10th St Indianapolis IN 46202-2803 |
| Mailing Address |
319 W Walnut St Indianapolis IN 46202-3163 |
| Practice Telephone | 3175540000 |
| Mailing Telephone | 3176382088 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
4301082431 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1481 W 10TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244258 | Mildred Sue Mcmanus | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2005-06-08 |
| 1174124002 | Syreeta Diane Adams | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-11-06 |
| 1083214126 | Angela Marie Whereatt | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-28 |
| 1679173132 | Jennifer Smith | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-26 |
| 1043817745 | Leah Whitmire | Music Therapist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-06 |
| 1831705730 | Lynnette Rosa Biviano | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-17 |
| 1881208114 | Jessica Lee Fromm | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-03 |
| 1770193104 | Jordan Kirk Trively | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-31 |
| 1942819263 | Vanessa Marie Street | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-23 |
| 1831717248 | Allissa Long | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590529 | Edward J Kowlowitz | Anesthesiology | 8805 N Meridian St, Indianapolis, IN 46260-2332 | 2005-09-29 |
| 1326040254 | John Barnett Swofford | Anesthesiology | 5445 E 16th St, Indianapolis, IN 46218-4869 | 2005-08-11 |
| 1629075080 | Charles R Smith | Anesthesiology | 8450 Northwest Blvd., Indianapolis, IN 46278-1381 | 2005-06-30 |
| 1295154110 | Sydney Harman | Anesthesiology | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2014-04-08 |
| 1326472259 | I. C. Pain Solutions, PC | Anesthesiology | 6325 S East St, Indianapolis, IN 46227-7110 | 2013-08-27 |
| 1760724603 | David Michael Gordon | Anesthesiology | 8805 N Meridian St, Indianapolis, IN 46260 | 2013-03-18 |
| 1356506281 | Jwm Neurology PC | Anesthesiology | 8040 Clearvista Pkwy, Suite 440, Indianapolis, IN 46256-5630 | 2008-07-21 |
| 1447356704 | Jocelyn L. Bush | Anesthesiology | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2006-09-15 |
| 1982646592 | Sanjay B Kuber | Anesthesiology | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2006-06-11 |
| 1922059898 | Anesthesia Consultants of Indianapolis, LLC | Anesthesiology | 1801 N Senate Blvd, Indianapolis, IN 46202-1228 | 2006-05-15 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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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.