Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 01041141A | IN |
N | 111NI0900X | Internist | 01041141A | IN |
N | 207RC0000X | Internist - Cardiovascular Disease | 01041141A | IN |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 01041141A | IN |
NPI | 1083676365 |
---|---|
Provider Name | John J Schutzman |
First Address | Indianapolis, IN 46268-3129 |
Second Address | Indianapolis, IN 46290-1028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 02/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060065190 | RRMC - CARDIOVASCULAR DIAGNOSTIC SERVICES (01) | IN |
100334590 | (05) | IN |
E41708 | (02) | IN |