CENTRAL INDIANA MEDICAL GROUP
NPI 1942396890
Family Medicine in Greenwood, IN

Active since October 05, 2006
134 N EMERSON AVE, GREENWOOD, IN 46143(317) 882-7344(317) 882-4793 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Indiana Medical Group NPPES

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

CENTRAL INDIANA MEDICAL GROUP (NPI 1942396890) is a healthcare organization registered as a family medicine in Greenwood, Indiana and active in the NPI registry since October 2006. The organization lists Donald E Duggan, Physician, as its authorized official.

NPPES Registry Identity

NPI1942396890
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAND OLD DOCS OF THE SOUTHSIDE
Location Address134 N EMERSON AVEGreenwood, IN 46143-9760
Mailing Address1350 E County Line Rd, Suite IIndianapolis, IN 46227-0873 · (317) 882-7344 · Fax (317) 882-4793
Fax(317) 882-4793
Organization SubpartNo
Authorized OfficialDonald E DugganPhysician · (317) 882-7344
Enumeration DateOctober 5, 2006
Last NPPES UpdateSeptember 10, 2008
NPI 1942396890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
134 N EMERSON AVE, Greenwood, IN 46143

Other Names 1

Doing Business AsCentral Indiana Medical Group

Other Identifiers 3

Other5457630004IN · Dme
Medicare PIN132440IN
OtherCI4722IN · Group Rr Medicare Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Counselor (Mental Health)
134 N EMERSON AVE
GREENWOOD, IN 46143
Registered Nurse (Lactation Consultant)
134 N EMERSON AVE
GREENWOOD, IN 46143

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 Grand Old Docs Of The Southside's NPI number?

The NPI number for Grand Old Docs Of The Southside is 1942396890. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Central Indiana Medical Group.

Where is Grand Old Docs Of The Southside located?

Grand Old Docs Of The Southside is located at 134 N Emerson Ave, Greenwood, IN 46143. The listed phone number is (317) 882-7344.

What is Grand Old Docs Of The Southside's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Grand Old Docs Of The Southside was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.