Dr. James Glenn Carlucci
Internist Pediatrician Pediatric Infectious Diseases
705 Riley Hospital Dr
Indianapolis
, Indiana 46202-5109
Dr. James Glenn Carlucci
Internist Pediatrician Pediatric Infectious Diseases
705 Riley Hospital Dr
Indianapolis
, Indiana 46202-5109
(317) 777-6435
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About
Features
Specialties
- Internist
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. James Glenn Carlucci
- Po Box 1026
- Indianapolis, IN
- Zip : 46206-1026
- Phone : (317) 777-6435
Second Address
- Dr. James Glenn Carlucci
- 705 Riley Hospital Dr
- Indianapolis, IN
- Zip : 46202-5109
- Fax : (317) 948-0860
- Phone : (317) 944-7260
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD47133 | TN |
| N | 111NI0900X | Internist | MD47133 | TN |
| N | 208000000X | Pediatrician | MD47133 | TN |
| Y | 2080P0208X | Pediatric Infectious Diseases | 01083765A | IN |
| N | 2080P0208X | Pediatric Infectious Diseases | MD0000047133 | TN |
National Provider Identifier
| NPI | 1427282557 |
|---|---|
| Provider Name | Dr. James Glenn Carlucci |
| First Address | Indianapolis, IN 46206-1026 |
| Second Address | Indianapolis, IN 46202-5109 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2009 |
| Last Update Date | 15/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300037124 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.