Basic Information
| Provider Information | |||||||||
| NPI: | 1033126156 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AROS | ||||||||
| FirstName: | HOWIS | ||||||||
| MiddleName: | YVETTE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | TOLER | ||||||||
| OtherFirstName: | HOWIS | ||||||||
| OtherMiddleName: | Y | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 250 N SHADELAND AVE | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462194959 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 601 W 2ND ST | ||||||||
| Address2: | |||||||||
| City: | BLOOMINGTON | ||||||||
| State: | IN | ||||||||
| PostalCode: | 474032317 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8123539515 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2006 | ||||||||
| LastUpdateDate: | 11/08/2021 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 11/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 2006012215 | MO | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | 2015-01810 | NC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 0101241172 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 0101241172 | VA | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 01073059A | IN | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 2006012215 | MO | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | 2015-01810 | NC | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 201217330 | 05 | IN | MEDICAID | 0101241172 | 01 | VA | MEDICAL LICENSE | OTHER | 000000865338 | 01 | IN | ANTHEM | OTHER | 01073059A | 01 | IN | LICENSE | OTHER | 2006012215 | 01 | MO | MEDICAL LICENSE | OTHER | P01300055 | 01 | IN | RAILROAD MEDICARE | OTHER |