Provider Demographics
NPI:1043225790
Name:ZIONSVILLE OB/GYN
Entity Type:Organization
Organization Name:ZIONSVILLE OB/GYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:RANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-873-8900
Mailing Address - Street 1:1275 PARKWAY DR
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-1953
Mailing Address - Country:US
Mailing Address - Phone:317-873-8900
Mailing Address - Fax:317-873-2655
Practice Address - Street 1:1275 PARKWAY DR
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1953
Practice Address - Country:US
Practice Address - Phone:317-873-8900
Practice Address - Fax:317-873-2655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN233920Medicare ID - Type Unspecified