| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1831147727 | CITTADINE | THOMAS | J | 6626 E 75TH ST | INDIANAPOLIS | IN | 462502805 | |
| 1386934982 | COHER | HEIDI | J | 6626 E 75TH ST | INDIANAPOLIS | IN | 462502805 | |
| 1376535880 | SEXSON | STEPHEN | B | 6626 E 75TH ST | INDIANAPOLIS | IN | 462502805 |