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Contact Information

JASON R CACIOPPO, MD
1550 E COUNTY LINE RD
SUITE 320
INDIANAPOLIS, IN46227-1000
 Phone: 317-621-2200
 Fax: 317-621-2204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON R CACIOPPO · (Male)

NPI Number 1720043193
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 12/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 01061643A
  • IN Medicaid 200829510
  • IN Other P01456968 RR MEDICARE
Hospital affiliation(s)
  • COMMUNITY HOSPITAL NORTH - (Acute Care)
    7150 CLEARVISTA DR
    INDIANAPOLIS, IN 46256
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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