| David Calhoun Dalton, MD | |
|
720 Eskenazi Ave, Indianapolis, IN 46202-5187 | |
| (317) 962-3700 | |
| (317) 962-8000 |
| Full Name | David Calhoun Dalton |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 720 Eskenazi Ave, 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 |
|---|---|---|---|
| 1932606357 | NPI | - | NPPES |
| 300075488 | Medicaid | IN | |
| 1103072429 | Other | IN | ANTHEM PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | V6906 (Texas) | Secondary |
| 208800000X | Urology | 01089867A (Indiana) | Primary |
| Entity Name | University Urologists Inc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104877141 PECOS PAC ID: 4284604208 Enrollment ID: O20040728000391 |
| 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 |
|---|---|
| David Calhoun Dalton, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | David Calhoun Dalton, MD 720 Eskenazi Ave, Indianapolis, IN 46202-5187 Ph: (317) 962-3700 |
Hristos Kaimakliotis, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-948-6351 | |
Dr. Charles Randall Powell Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 535 Barnhill Dr., Indianapolis, IN 46202 Phone: 317-274-4622 Fax: 317-274-0174 | |
Ethan L Ferguson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Suite 220, Indianapolis, IN 46202 Phone: 317-962-3700 Fax: 317-962-2893 | |
Kelly Clint Cary, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 888-484-3258 | |
James Andrew Dugan, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 8091 Township Line Rd, Ste 109, Indianapolis, IN 46260 Phone: 317-802-9900 Fax: 317-802-9911 | |
Adri Durant, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-948-2589 | |
Dr. Kevin Richard Rice, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd Suite 220, Indianapolis, IN 46202 Phone: 317-962-3700 Fax: 317-962-2893 |