Maryellen E Gusic
MD | Pediatrics | Female
Maryellen E Gusic, MD is a Indianapolis, Indiana based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Maryellen E Gusic is
705 Riley Hospital Dr, Suite 1300, Indianapolis, Indiana - 46202-5109. She can be contacted on phone at
317-944-2801 and fax number 317-944-5630.
Maryellen E Gusic is a sole proprietor of her business.
NPI number (Unique professional ID) for Maryellen E Gusic is
1760432397 which was assigned by NPPES on 12 May, 2006 and it was last updated on 30 Jul, 2013.
Maryellen E Gusic license number is
01069711A for Pediatrics (208000000X) in Indiana.
Maryellen E Gusic is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Maryellen E Gusic basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Maryellen E Gusic |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Maryellen E Gusic 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, Suite 1300
Indianapolis, IN, 46202-5109
United States |
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| Phone Number : | 317-944-2801 |
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| Fax Number : | 317-944-5630 |
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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 : | 1760432397 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 May, 2006 |
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| Last Updated On : | 30 Jul, 2013 |
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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 Maryellen E Gusic are as mentioned. Primary taxonomy code for Maryellen E Gusic, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD053599L | PA |
| 208000000X | Pediatrics | Yes | 01069711A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Maryellen E Gusic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 201055470 | MEDICAID | IN | |
| 0014850040010 | MEDICAID | PA | |
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 : | 950 N Meridian Street, Suite 500 - Provider Enrollment
Indianapolis, IN, 46204-3908
United States |
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| Phone Number : | 317-963-0595 |
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| Fax Number : | 317-962-4950 |
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Business Location:
Patients can refer following map for directions to
Maryellen E Gusic practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.