Individual
IVAN LEGOAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
11344 ABBITT TRL, ZIONSVILLE, IN 46077-0016
(574) 268-9640
(574) 268-0684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28139740A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355824
ANTHEM BLUE SHIELD
—
05
—
20019921
—
IN
05
—
2534681
—
OH
05
—
74009135
—
KY
Enumeration date
12/05/2005
Last updated
07/06/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us