Individual
SAMUEL IDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(317) 217-3000
(317) 870-0499
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374
(765) 983-3127
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01060922
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200844460
—
IN
Enumeration date
12/06/2006
Last updated
05/25/2021
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