Provider Demographics
NPI:1649398827
Name:RODNEY J.S. DEATON, M.D., P.C.
Entity Type:Organization
Organization Name:RODNEY J.S. DEATON, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:JS
Authorized Official - Last Name:DEATON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-639-6312
Mailing Address - Street 1:333 N PENNSYLVANIA ST
Mailing Address - Street 2:SUITE 612
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1817
Mailing Address - Country:US
Mailing Address - Phone:317-639-6312
Mailing Address - Fax:
Practice Address - Street 1:333 N PENNSYLVANIA ST
Practice Address - Street 2:SUITE 612
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1817
Practice Address - Country:US
Practice Address - Phone:317-639-6312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty