Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison Taylor Rebholz, PA-C

Individual provider Physician Assistant · NPI 1306467642

Madison Taylor Rebholz, PA-C is a Physician Assistant in Indianapolis, Indiana. Works from 4 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8450 NW Blvd
Indianapolis, IN 46278-1381
Phone: (317) 802-2000
Fax: (317) 802-2170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1515 N Madison Ave, Anderson, IN 46011-3457 — (765) 298-4242
  • 1500 N Ritter Ave, Indianapolis, IN 46219-3027 — (317) 355-5041
  • 8450 Northwest Blvd, Indianapolis, IN 46278-1381 — (317) 802-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10003014A (IN)
Physician Assistant Taxonomy 363A00000X · Licence CV2002459 (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10003014A (IN)

Record details

NPI number1306467642
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 28, 2020
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

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