Provider Demographics
NPI:1770876658
Name:MCDONALD, ERIN VOSS (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:VOSS
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LINSEY
Other - Last Name:VOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12174 N MERIDIAN ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4578
Mailing Address - Country:US
Mailing Address - Phone:317-688-9000
Mailing Address - Fax:317-680-9900
Practice Address - Street 1:12174 N MERIDIAN ST STE 300
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-4578
Practice Address - Country:US
Practice Address - Phone:317-688-9000
Practice Address - Fax:317-680-9900
Is Sole Proprietor?:No
Enumeration Date:2011-05-25
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC173137207Q00000X
SC38376207Q00000X
IN01078018A207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC383766Medicaid
SC383766Medicaid
NCAC5385578-R727OtherDEA
SC383766Medicaid