Individual
ROBERT E SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8075 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46250-2693
(317) 621-8500
(317) 621-8501
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01026362A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569473
ANTHEM
IN
05
—
100366890
—
IN
01
—
399832
WELLCARE
IN
01
—
4004424
AETNA
IN
01
—
P01198087
RR MEDICARE PTAN
IN
Enumeration date
08/18/2005
Last updated
12/05/2014
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