Individual
DAVID MICHAEL BLACKWELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 N EAST ST, INDIANAPOLIS, IN 46202-3425
(317) 644-3461
(317) 602-2654
Mailing address
907 N EAST ST, INDIANAPOLIS, IN 46202-3425
(317) 644-3461
(317) 602-2654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01047203
IN
207Q00000X
Family Medicine Physician
Primary
01047203A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102455200
ANTHEM PTAN
IN
05
—
300087633
—
IN
Enumeration date
11/01/2006
Last updated
05/15/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us