Basic Information
| Provider Information | |||||||||
| NPI: | 1922036698 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHUBERT | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | PAUL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 UNIVERSITY BLVD STE 2440 | ||||||||
| Address2: | DEPT OB/GYN | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462025149 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179448182 | ||||||||
| FaxNumber: | 3179447417 | ||||||||
| Practice Location | |||||||||
| Address1: | 550 UNIVERSITY BLVD STE 2440 | ||||||||
| Address2: | DEPT OB/GYN | ||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462025149 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179448182 | ||||||||
| FaxNumber: | 3179448182 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2006 | ||||||||
| LastUpdateDate: | 02/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 036115388 | IL | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207VM0101X | 01052918A | IN | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Maternal & Fetal Medicine | 207V00000X | 01052918A | IN | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | P01678743 | 01 | IN | MEDICARE RR | OTHER | 200444070 | 05 | IN | MEDICAID |