| Paul Samuel Page, MD | |
|
120 Avon Market Pl Ste 100, Avon, IN 46123-6021 | |
| (317) 396-1300 | |
| (317) 396-1395 |
| Full Name | Paul Samuel Page |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 120 Avon Market Pl Ste 100, Avon, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396108734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 01092400A (Indiana) | Secondary |
| 207T00000X | Neurological Surgery | 68787 (Wisconsin) | Primary |
| Entity Name | Indianapolis Neurosurgical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275580318 PECOS PAC ID: 0941191282 Enrollment ID: O20040324000655 |
| Entity Name | Union Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013965573 PECOS PAC ID: 8426943614 Enrollment ID: O20040519000807 |
| Entity Name | Union Associated Physicians Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Samuel Page, MD 13345 Illinois St, Carmel, IN 46032-3318 Ph: (317) 396-1300 | Paul Samuel Page, MD 120 Avon Market Pl Ste 100, Avon, IN 46123-6021 Ph: (317) 396-1300 |
Dr. Henry Jung, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 709 Foxboro Dr, Avon, IN 46123 Phone: 317-287-4154 | |
Dr. Miracle Chiomimi Anokwute, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 120 Avon Market Pl Ste 100, Avon, IN 46123 Phone: 317-396-1300 Fax: 317-396-1395 |