Provider Demographics
NPI:1821844895
Name:VIRTUALMED NEXUS
Entity type:Organization
Organization Name:VIRTUALMED NEXUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ELVIN
Authorized Official - Last Name:WILMOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-408-3056
Mailing Address - Street 1:7393 WINDRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-8801
Mailing Address - Country:US
Mailing Address - Phone:317-408-3056
Mailing Address - Fax:
Practice Address - Street 1:240 S WOLCOTT ST STE 10B
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2575
Practice Address - Country:US
Practice Address - Phone:317-408-3056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty