Basic Information
| Provider Information | |||||||||
| NPI: | 1497757249 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LADOWSKI | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | S. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 545 BARNHILL DR EH215 | ||||||||
| Address2: | |||||||||
| City: | INDIANAPLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462025112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179480944 | ||||||||
| FaxNumber: | 3172742940 | ||||||||
| Practice Location | |||||||||
| Address1: | 1801 N SENATE BLVD MPC2 #3300 | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 46202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179231787 | ||||||||
| FaxNumber: | 3179620262 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2005 | ||||||||
| LastUpdateDate: | 01/22/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | 01036980A | IN | Y | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
ID Information
| ID | Type | State | Issuer | Description | 4666809 | 05 | MI | MEDICAID | 0704894 | 05 | OH | MEDICAID | 100096000 | 05 | IN | MEDICAID |