| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1811301138 | BEARD | SAMUEL | MACKAY | 250 N SHADELAND AVE | INDIANAPOLIS | IN | 462194959 | |
| 1649605007 | SAUNDERS | JASON | 250 N SHADELAND AVE | INDIANAPOLIS | IN | 462194959 | ||
| 1134562952 | WARREN | TENDEUKAI | RATIDZO | 250 N SHADELAND AVE | INDIANAPOLIS | IN | 462194959 |