Basic Information
| Provider Information | |||||||||
| NPI: | 1205802600 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEAMING | ||||||||
| FirstName: | ROSALIND | ||||||||
| MiddleName: | D | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6626 E 75TH ST | ||||||||
| Address2: | SUITE 500 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462502805 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3125 S SCATTERFIELD RD | ||||||||
| Address2: | SUITE 310 | ||||||||
| City: | ANDERSON | ||||||||
| State: | IN | ||||||||
| PostalCode: | 460131801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3176211006 | ||||||||
| FaxNumber: | 3173556822 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2006 | ||||||||
| LastUpdateDate: | 01/19/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 01030305A | IN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
ID Information
| ID | Type | State | Issuer | Description | P00966918 | 01 | IN | RR MEDICARE | OTHER | 000000701134 | 01 | IN | ANTHEM | OTHER | 200149640 | 05 | IN | MEDICAID | 000000342150 | 01 | IN | ANTHEM | OTHER | P01678718 | 01 | IN | MEDICARE RR | OTHER |