Organization
CENTRAL INDIANA GASTROENTEROLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON M MAIER MD (PRESIDENT)
(765) 646-8477
Entity
Organization
Contact information
Practice address
2020 MERIDIAN STREET, SUITE 340, ANDERSON, IN 46016-4349
(765) 646-8477
(765) 649-0014
Mailing address
2020 MERIDIAN STREET, SUITE 340, ANDERSON, IN 46016-4349
(765) 646-8477
(765) 649-0014
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100171370
—
IN
05
—
65936270
—
KY
01
—
CE9088
MEDICARE RAILROAD
IN
01
—
CM2269
MEDICARE RAILROAD
IN
Enumeration date
10/03/2006
Last updated
08/07/2014
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