Dr. Stacey Elaine Tarvin

M.D. | Pediatric Rheumatology | Female

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Complete Profile:

Dr. Stacey Elaine Tarvin basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Rheumatology
Provider Name :	Dr. Stacey Elaine Tarvin
Credential :	M.D.
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Dr. Stacey Elaine Tarvin 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 :	699 Riley Hospital Dr Indianapolis, IN, 46202-5119 United States
Phone Number :	317-274-2172
Fax Number :	317-278-3031

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 :	1639380769
NPI Entity Type :	Individual
First Enrolment Date :	24 May, 2007
Last Updated On :	19 Nov, 2020

Medicare Participation:

Dr. Stacey Elaine Tarvin participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0446420103
Medicare Enrollment ID :	I20110907001193
Primary Specialty :	Rheumatology
Medical School :	Indiana University School Of Medicine
Graduation Year :	2005
Accepts Medicare?	Yes. Dr. Stacey Elaine Tarvin accepts medicare insurance.

Group Practice Association:

Dr. Stacey Elaine Tarvin is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Stacey Elaine Tarvin is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Pediatric Associates, Inc.	2163326794	123	705 Riley Hospital Dr Indianapolis, IN - 462025109 Ph: 3179445000	Yes

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. Stacey Elaine Tarvin are as mentioned. Primary taxonomy code for Dr. Stacey Elaine Tarvin, M.D. is 2080P0216X (Pediatrics Pediatric Rheumatology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0216X	Pediatrics Pediatric Rheumatology	Yes	01064302	IN

Legacy Identifiers:

Other legacy medical identifiers of Dr. Stacey Elaine Tarvin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
201035650	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).

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
Phone Number :	317-274-1201
Fax Number :	317-278-9905

Business Location:

Patients can refer following map for directions to Dr. Stacey Elaine Tarvin 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.