Samuel M Wentworth
Pediatrician Pediatric Endocrinologist
100 Hospital Ln Suite 205
Danville
, Indiana 46122-1989
Samuel M Wentworth
Pediatrician Pediatric Endocrinologist
100 Hospital Ln Suite 205
Danville
, Indiana 46122-1989
(317) 837-5580
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About
Features
Specialties
- Pediatrician
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Samuel M Wentworth
- 1100 Southfield Dr Suite 1370
- Plainfield, IN
- Zip : 46168-4498
- Fax : (317) 837-5580
- Phone : (317) 837-5571
Second Address
- Samuel M Wentworth
- 100 Hospital Ln Suite 205
- Danville, IN
- Zip : 46122-1989
- Fax : (317) 745-3085
- Phone : (317) 745-7128
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 01022901A | IN |
| Y | 2080P0205X | Pediatric Endocrinologist | 01022901A | IN |
National Provider Identifier
| NPI | 1215924550 |
|---|---|
| Provider Name | Samuel M Wentworth |
| First Address | Plainfield, IN 46168-4498 |
| Second Address | Danville, IN 46122-1989 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2005 |
| Last Update Date | 17/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100133390A | (05) | IN |
| D69557 | (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.