| Anthony Joseph Damore, MD | |
|
2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 | |
| (317) 398-7337 | |
| Not Available |
| Full Name | Anthony Joseph Damore |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2451 Intelliplex Dr Ste 240, Shelbyville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407146004 | NPI | - | NPPES |
| 201293370 | Medicaid | IN | |
| P01824423 | Other | IN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01075366A (Indiana) | Primary |
| Entity Name | Meridian Health Services Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992755490 PECOS PAC ID: 5597679845 Enrollment ID: O20031119000531 |
| Entity Name | Major Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174555692 PECOS PAC ID: 0446167415 Enrollment ID: O20040108000586 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Joseph Damore, MD 30 W Rampart St Ste 200, Shelbyville, IN 46176-8846 Ph: (317) 421-2012 | Anthony Joseph Damore, MD 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 Ph: (317) 398-7337 |
Dr. Paula Ann Gustafson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 W Rampart St, Shelbyville, IN 46176 Phone: 317-398-7337 | |
Kelly Marie Meyer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176 Phone: 317-398-7337 Fax: 317-398-1862 | |
Evan Ray Eckart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 30 W Rampart St, Suite 170, Shelbyville, IN 46176 Phone: 317-398-7537 Fax: 317-421-0372 |