Samuel J Flanders
Pediatrician
250 N Shadeland Ave Ste 200
Indianapolis
, Indiana 46219
Samuel J Flanders
Pediatrician
250 N Shadeland Ave Ste 200
Indianapolis
, Indiana 46219
(317) 962-8646
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Samuel J Flanders
- 250 N Shadeland Ave Ste 200
- Indianapolis, IN
- Zip : 46219-4959
- Fax : (317) 962-8646
- Phone : (317) 962-4836
Second Address
- Samuel J Flanders
- 250 N Shadeland Ave Ste 200
- Indianapolis, IN
- Zip : 46219
- Fax : (317) 962-8646
- Phone : (317) 962-4836
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 01031754 | IN |
National Provider Identifier
| NPI | 1003857939 |
|---|---|
| Provider Name | Samuel J Flanders |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46219 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2006 |
| Last Update Date | 22/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100334830 | (05) | IN |
| B29764 | (02) | 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.