Provider Demographics
NPI:1407983976
Name:AMSTUTZ, KAREN SCHARENBERG (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SCHARENBERG
Last Name:AMSTUTZ
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:LISA
Other - Last Name:SCHARENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:250 N SHADELAND AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1099 N MERIDIAN ST STE 1000
Practice Address - Street 2:MP IN040L-0003
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1045
Practice Address - Country:US
Practice Address - Phone:317-287-2039
Practice Address - Fax:317-287-2621
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01041864208000000X
IN01041864A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN01041864OtherINDIANA MEDICAL LICENSE
MA71117OtherMEDICAL LICENSE, EXPIRED
MA71117OtherMEDICAL LICENSE, EXPIRED
J08878Medicare ID - Type Unspecified
MA71117OtherMEDICAL LICENSE, EXPIRED