Individual
GEOFFREY C CLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13861 OLIO RD, FISHERS, IN 46037-3487
(317) 338-7136
(317) 338-6359
Mailing address
3926 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 266-8210
(260) 458-5636
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01057955A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000512001
ANTHEM PROVIDER ID# - WHC
IN
01
—
000000595614
ANTHEM
IN
05
—
200446790
—
IN
05
—
200446790A
—
IN
Enumeration date
07/18/2005
Last updated
07/29/2025
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