Provider Demographics
NPI:1184734402
Name:ZAPPIA, ANTHONY R (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:R
Last Name:ZAPPIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13430 N MERIDIAN ST STE 275
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1484
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13430 N MERIDIAN ST STE 275
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1484
Practice Address - Country:US
Practice Address - Phone:317-582-8810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME133717208600000X
IN01045065A208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I018482D069OtherUNISYS CHAMPUS SECONDARY
290480OtherHEALTHLINK
351904269194OtherCARESOURCE MEDICAID
0182876OtherUS DEPT OF LABOR
IN200095090WMedicaid
5289192OtherAETNA
020030335OtherRAILROAD MCARE PALAMETTO
IN200095090Medicaid
IN200095090XMedicaid
66831AOtherCIGNA
000000089607OtherANTHEM
IN200095090AOtherMOLINA HEALTHCARE MCAID
N280836OtherHARMONY HEALTH PLAN IND
IN200095090WMedicaid
N280836OtherHARMONY HEALTH PLAN IND
I018482D069OtherUNISYS CHAMPUS SECONDARY