Provider Demographics
NPI:1659385375
Name:SCHLUETER, JOHN K (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:K
Last Name:SCHLUETER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:679 E COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1049
Mailing Address - Country:US
Mailing Address - Phone:317-807-1262
Mailing Address - Fax:317-859-4268
Practice Address - Street 1:8240 NAAB RD STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1986
Practice Address - Country:US
Practice Address - Phone:318-890-2000
Practice Address - Fax:317-876-2320
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01055472A208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000351014OtherANTHEM PIN NUMBER
INP00190172OtherMEDICARE RAILROAD
IN100194370OtherMEDICAID GROUP NUMBER
IN1487680518OtherGROUP NPI NUMBER
IN200369910Medicaid
IN200288740OtherMEDICAID GROUP NUMBER
INP00190472OtherMEDICARE RAILROAD
INH57678Medicare UPIN
IN677730JJMedicare PIN