Organization
PIKE MEDICAL CONSULTANTS EXPEDITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D PIKE DO (PRESIDENT/PHYSICIAN)
(317) 956-6288
Entity
Organization
Contact information
Practice address
4126 E 10TH ST, INDIANAPOLIS, IN 46201-2613
(317) 956-6288
(317) 956-6289
Mailing address
6040 W 84TH ST, INDIANAPOLIS, IN 46278-1360
(317) 956-6288
(317) 956-6289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200856130
—
IN
01
—
DF5450
RAILRAOD MEDICARE GROUP
IN
Enumeration date
10/30/2008
Last updated
11/10/2008
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