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Contact Information

COMMUNITY PHYSICIAN NETWORK SPECIALTY CARE LLC
8075 N SHADELAND AVE
INDIANAPOLIS, IN46250-2693
 Phone: 317-621-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for COMMUNITY PHYSICIAN NETWORK SPECIALTY CARE LLC

NPI Number 1588535496
LBN Legal business name COMMUNITY PHYSICIAN NETWORK SPECIALTY CARE LLC
Authorized official JOHN KUNZER - (EVP)
Entity Organization
Organization subpart 1 No
Enumeration date 09/15/2025
Last updated 03/30/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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