| Dr Taha Z Shipchandler, MD | |
|
11725 Illinois St Ste 275, Carmel, IN 46032-3009 | |
| (317) 948-5071 | |
| (317) 948-5144 |
| Full Name | Dr Taha Z Shipchandler |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 22 Years |
| Location | 11725 Illinois St Ste 275, Carmel, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023288230 | NPI | - | NPPES |
| 200987260 | Medicaid | IN | |
| 417355400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | D68443 (Maryland) | Secondary |
| 207Y00000X | Otolaryngology | 57.007689 (Ohio) | Secondary |
| 207Y00000X | Otolaryngology | 01068324A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 1024 |
| Entity Name | University Otolaryngology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275563447 PECOS PAC ID: 4587550645 Enrollment ID: O20040225000643 |
| 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 |
|---|---|
| Dr Taha Z Shipchandler, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Dr Taha Z Shipchandler, MD 11725 Illinois St Ste 275, Carmel, IN 46032-3009 Ph: (317) 948-5071 |
Edward J Krowiak, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12188a North Meridian St, Suite 375, Carmel, IN 46032 Phone: 317-926-1056 Fax: 317-579-0476 | |
Alexander Joseph Caniglia, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 170 W 106th St, Carmel, IN 46290 Phone: 317-575-0330 | |
Dr. Seth David Bruggers, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12065 Old Meridian St, Suite 205, Carmel, IN 46032 Phone: 317-844-5656 Fax: 317-575-3795 | |
Megan Wilson Wood, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 11725 N Illinois St Ste 445, Carmel, IN 46032 Phone: 317-844-7059 Fax: 317-819-0044 | |
Amy Broom, M.A. CCC-A Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 12188a N Meridian St Ste 375, Carmel, IN 46032 Phone: 317-926-1056 Fax: 317-806-2323 | |
Dr. Jeffrey Corbett Beach, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 Phone: 317-844-5656 Fax: 317-575-3795 |