Charles Phillip Blair Vanderpool
MD | Pediatric Gastroenterology | Male
Charles Phillip Blair Vanderpool, MD is a Indianapolis, Indiana based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Charles Phillip Blair Vanderpool is
705 Riley Hospital Dr, Roc 4210, Indianapolis, Indiana - 46202-5109. He can be contacted on phone at
317-944-3774 and fax number 317-944-8521.
Charles Phillip Blair Vanderpool is a sole proprietor of his business.
NPI number (Unique professional ID) for Charles Phillip Blair Vanderpool is
1033266820 which was assigned by NPPES on 04 Jan, 2007 and it was last updated on 23 Nov, 2020.
Charles Phillip Blair Vanderpool license number is
01069261A for Pediatrics Pediatric Gastroenterology (2080P0206X) in Indiana.
Charles Phillip Blair Vanderpool specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Charles Phillip Blair Vanderpool basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Charles Phillip Blair Vanderpool |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Charles Phillip Blair Vanderpool address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 705 Riley Hospital Dr, Roc 4210
Indianapolis, IN, 46202-5109
United States |
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| Phone Number : | 317-944-3774 |
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| Fax Number : | 317-944-8521 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033266820 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Jan, 2007 |
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| Last Updated On : | 23 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Phillip Blair Vanderpool are as mentioned. Primary taxonomy code for Charles Phillip Blair Vanderpool, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 01069261A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Charles Phillip Blair Vanderpool such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 201020420 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | cvanderpool1@direct.iuhealth.org
| No affiliation |
|
| 705 RILEY HOSPITAL DR, ROC 4210
INDIANAPOLIS, IN, 46202-5109
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1026
Indianapolis, IN, 46206-1026
United States |
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| Phone Number : | 317-274-1201 |
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| Fax Number : | 317-278-9905 |
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Business Location:
Patients can refer following map for directions to
Charles Phillip Blair Vanderpool practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.