Basic Information
| Provider Information | |||||||||
| NPI: | 1356325187 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MENEGHINI | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 950 N MERIDIAN ST | ||||||||
| Address2: | STE 500 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462043908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179624944 | ||||||||
| FaxNumber: | 3179624950 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 W 103RD ST | ||||||||
| Address2: | STE 1400 | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462901018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3176885980 | ||||||||
| FaxNumber: | 3175662736 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2005 | ||||||||
| LastUpdateDate: | 10/31/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 01059735A | IN | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 046288 | CT | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XS0114X | 01059735 | IN | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 7262751 | 01 | IN | AETNA | OTHER | 200985760 | 05 | IN | MEDICAID | 2555480 | 01 | IN | UHC | OTHER | 000000373182 | 01 | IN | BCBS | OTHER | P01002398 | 01 | IN | RAILROAD MEDICARE PTAN | OTHER |