NPI 1053011163

Centerwell Senior Primary Care in PC

Organisation Internal Medicine Physician Indianapolis, IN

Practice location

Address: 5115 W Washington St, Indianapolis, IN 46241-2205
Phone: (317) 799-1268
Fax: (877) 965-4298
Mailing address: 6101 Blue Lagoon Dr STE 200, Miami, FL 33126-3168

Authorised official

Name: Angie Martinez
Title: Senior Credentialing Professional
Phone: (407) 447-7120

Registered specialties (3)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Indiana →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Indiana →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Indiana →

Registry record

NPI: 1053011163
Entity type: Organization
NPI issued: 7 Mar 2023
Record last updated: 1 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.