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MR. ADAM GENTRY DETIG PA-C
NPI 1629604939
Physician Assistant in Indianapolis, IN

Active since March 18, 2020
3903 IVORY WAY, INDIANAPOLIS, IN 46237(815) 677-1075 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 20, 2024, May 16, 2023, Sep 22, 2022 and 4 more (7 updates tracked since 2020).

About Mr. Adam Gentry Detig Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ADAM GENTRY DETIG PA-C (NPI 1629604939) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10002938A) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1629604939
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ADAM GENTRY DETIGCredential: PA-C
Location Address3903 IVORY WAYIndianapolis, IN 46237-3433
Mailing Address3903 Ivory WayIndianapolis, IN 46237-3433 · (815) 677-1075
Phone(815) 677-1075
Sole ProprietorYes
Enumeration DateMarch 18, 2020
Last NPPES UpdateAugust 20, 20247 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1629604939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10002938A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3903 IVORY WAY, Indianapolis, IN 46237
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Detig's NPI number?

The NPI number for Adam Detig is 1629604939. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is Adam Detig located?

Adam Detig practices at 3903 Ivory Way, Indianapolis, IN 46237. The listed phone number is (815) 677-1075.

What is Adam Detig's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Adam Detig was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.