Individual
SUSAN M. GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-4842
Mailing address
PO BOX 719094, CHICAGO, IL 60677-9318
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01082429A
IN
208000000X
Pediatrics Physician
35122378
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027407
—
IN
Enumeration date
11/07/2006
Last updated
02/14/2026
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