Provider Demographics
NPI:1467510065
Name:THE BREAST CARE CENTER OF INDIANA, P.C.
Entity Type:Organization
Organization Name:THE BREAST CARE CENTER OF INDIANA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RHYS
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:317-875-5461
Mailing Address - Street 1:8550 NAAB RD STE 200
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-2086
Mailing Address - Country:US
Mailing Address - Phone:317-875-5461
Mailing Address - Fax:317-872-1374
Practice Address - Street 1:8550 NAAB RD STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-2086
Practice Address - Country:US
Practice Address - Phone:317-875-5461
Practice Address - Fax:317-872-1374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN265780Medicare ID - Type Unspecified