1811971690 NPI number — IVAN LEGOAS CRNA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811971690 NPI number — IVAN LEGOAS CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEGOAS
Provider First Name:
IVAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811971690
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/06/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11344 ABBITT TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ZIONSVILLE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46077-0016
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
574-268-9640
Provider Business Mailing Address Fax Number:
574-268-0684

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7150 CLEARVISTA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46256-1695
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-621-5890
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  28139740A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2534681 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000355824 . This is a "ANTHEM BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 74009135 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 20019921 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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