Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GRAND OLE DOCS OF THE SOUTHSIDE, LLC
Active
Organization
GRAND OLE DOCS OF THE SOUTHSIDE, LLC
Active
Other names
Central Indiana Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES R RICHERT MD (MD)
(317) 881-5152
Entity
Organization
Contact information
Practice address
365 E MAIN ST, GREENWOOD, IN 46143-1361
(317) 881-5152
(317) 881-8993
Mailing address
1350 E COUNTY LINE RD, SUITE H, INDIANAPOLIS, IN 46227-0873
(317) 887-7725
(317) 887-7751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
12/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers