Dr. Jessica M Kanis
MD | Pediatric Emergency Medicine | Female
Dr. Jessica M Kanis, MD is a Indianapolis, Indiana based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine. Dr. Jessica M Kanis is also known as
Jessica M Fangman.
Current practice location of Dr. Jessica M Kanis is
705 Riley Drive, Indianapolis, Indiana - 46202-5109. She can be contacted on phone at
317-944-3936 and fax number 317-948-5844.
Dr. Jessica M Kanis is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jessica M Kanis is
1558442715 which was assigned by NPPES on 17 Oct, 2006 and it was last updated on 30 Aug, 2022.
Dr. Jessica M Kanis license number is
01072885A for Pediatrics (2080P0204X) in Indiana.
Dr. Jessica M Kanis has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Jessica M Kanis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Jessica M Kanis |
|---|
| Other Name : | Jessica M Fangman |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Jessica M Kanis 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 Drive
Indianapolis, IN, 46202-5109
United States |
|---|
| Phone Number : | 317-944-3936 |
|---|
| Fax Number : | 317-948-5844 |
|---|
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 : | 1558442715 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 17 Oct, 2006 |
|---|
| Last Updated On : | 30 Aug, 2022 |
|---|
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 Dr. Jessica M Kanis are as mentioned. Primary taxonomy code for Dr. Jessica M Kanis, MD is
2080P0204X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 35.094922 | OH |
| 208000000X | Pediatrics | No | 01072885A | IN |
| 2083C0008X | Preventive Medicine | No | 01072885A | IN |
| 2080P0204X | Pediatrics | Yes | 01072885A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jessica M Kanis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000835642 | Other (non-Medicare) | IN | Anthem PIN |
| 201057370 | MEDICAID | IN | |
| 264430141 | MEDICARE PIN | 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) | jkanis@direct.iuhealth.org
| No affiliation |
|
| 705 Riley Drive,
Indianapolis, IN, 46202-5109
|
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 : | 250 N Shadeland Ave
Indianapolis, IN, 46219-4959
United States |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Jessica M Kanis 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.