| Craig Douglas Sewell, DO | |
|
1801 N Senate Blvd, Indianapolis, IN 46202-1228 | |
| (317) 962-5820 | |
| Not Available |
| Full Name | Craig Douglas Sewell |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 1801 N Senate Blvd, Indianapolis, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346771839 | NPI | - | NPPES |
| 300064217 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0201X | Pediatrics - Pediatric Allergy/immunology | 02006848A (Indiana) | Secondary |
| 207K00000X | Allergy & Immunology | 02006848A (Indiana) | Primary |
| Entity Name | University Pediatric Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021 |
| Entity Name | University Medical Diagnostic Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861441537 PECOS PAC ID: 3375446347 Enrollment ID: O20040202000510 |
| Entity Name | Indiana Clinic Critical Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417285230 PECOS PAC ID: 3678600988 Enrollment ID: O20100419000408 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Douglas Sewell, DO 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Craig Douglas Sewell, DO 1801 N Senate Blvd, Indianapolis, IN 46202-1228 Ph: (317) 962-5820 |
Leanna-marie S Gershuni, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 9002 N Meridian St Ste 107, Indianapolis, IN 46260 Phone: 317-848-9441 Fax: 317-924-8239 | |
Simran K Jutla, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-948-7208 Fax: 317-944-7245 | |
Dr. Douglas J. Horton, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 9002 N Meridian St Ste 107, Indianapolis, IN 46260 Phone: 317-848-9441 Fax: 317-924-8239 | |
Carol K Fosso, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 70 E 91st St Ste 204, Indianapolis, IN 46240 Phone: 317-872-4213 Fax: 317-872-6388 | |
Jay Jun-hong Jin, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr # 4270, Indianapolis, IN 46202 Phone: 317-948-7208 Fax: 317-944-7245 | |
Mark Holbreich, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 8902 N Meridian St, Ste. 100, Indianapolis, IN 46260 Phone: 317-574-0230 Fax: 317-574-0232 | |
Mason R Goodman, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Ste 230, Indianapolis, IN 46202 Phone: 317-962-5820 Fax: 317-962-3916 |