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MR. GARY W MISAMORE MD
NPI 1659324416
Orthopaedic Surgery - Sports Medicine in Indianapolis, IN

Active since May 19, 2006
201 PENNSYLVANIA PARKWAY, SUITE 200, INDIANAPOLIS, IN 46280(317) 817-1200(317) 208-1551 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gary W Misamore Md NPPES

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

MR. GARY W MISAMORE MD (NPI 1659324416) is an individual sports medicine provider in Indianapolis, Indiana, licensed in Indiana (01028154A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1659324416
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameMR. GARY W MISAMORECredential: MD
Location Address201 PENNSYLVANIA PARKWAY, SUITE 200Indianapolis, IN 46280-2301
Mailing Address201 Pennsylvania Parkway, Suite 200Indianapolis, IN 46280-2301 · (317) 817-1200 · Fax (317) 208-1551
Phone(317) 817-1200
Fax(317) 208-1551
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 12, 2015
✔ NPI 1659324416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in IN · 01028154A
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
201 PENNSYLVANIA PARKWAY, Indianapolis, IN 46280
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Other Identifiers 5

Medicare NSC0208260001IN
Other200013396IN · Rr Medicare
Medicare UPIND95608IN
Medicaid100461060IN
Medicare PIN797310EIN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRUCE WILLARD LAT, ATC
Specialist/Technologist (Athletic Trainer)
201 PENNSYLVANIA PARKWAY, THOMAS A BRADY SPORTS MEDICINE CENTER PC
INDIANAPOLIS, IN 46280
Hamilton County (317) 491-5464
VALERIE A PURVIN MD PC
Psychiatry & Neurology (Neurology)
201 PENNSYLVANIA PARKWAY
INDIANAPOLIS, IN 46280
Hamilton County (317) 817-1254

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 Gary Misamore's NPI number?

The NPI number for Gary Misamore is 1659324416. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Gary Misamore located?

Gary Misamore practices at 201 Pennsylvania Parkway Suite 200, Indianapolis, IN 46280. The listed phone number is (317) 817-1200.

What is Gary Misamore's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Gary Misamore was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.