Individual
ELIZABETH G MASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5350 E THOMPSON RD, INDIANAPOLIS, IN 46237-2059
(615) 424-4201
(317) 781-3562
Mailing address
PO BOX 932958 PO BOX 932958, CLEVELAND, OH 44193-0001
(615) 425-4200
(615) 425-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004478A
IN
363AM0700X
Medical Physician Assistant
Primary
10004478A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104321083
ANTHEM PTAN
IN
05
—
300095461
—
IN
Enumeration date
08/06/2024
Last updated
06/25/2025
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