Provider Demographics
NPI:1124208400
Name:BARBARA R. STURM, M.D.,P.C.
Entity Type:Organization
Organization Name:BARBARA R. STURM, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:R
Authorized Official - Last Name:STURM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-535-5001
Mailing Address - Street 1:1777 W STONES CROSSING RD STE 4
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-7899
Mailing Address - Country:US
Mailing Address - Phone:317-535-5001
Mailing Address - Fax:317-535-5009
Practice Address - Street 1:1777 W STONES CROSSING RD STE 4
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-7899
Practice Address - Country:US
Practice Address - Phone:317-535-5001
Practice Address - Fax:317-535-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01036046A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE72877Medicare UPIN
IN596400Medicare PIN