Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Centerwell Senior Primary Care in PC

Organization Family Medicine Physician · NPI 1396511648

Centerwell Senior Primary Care in PC is a Family Medicine Physician in Indianapolis, Indiana. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2902 W 86th St
Indianapolis, IN 46268-5900
Phone: (407) 447-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1396511648
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care in PC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care-College Park; Centerwell Senior Primary Care-College Park
NPI enumeratedNovember 28, 2023
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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