| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629360490 | ASBURY | OLIVE | 6626 E 75TH STREET | INDIANAPOLIS | IN | 462502890 | ||
| 1083678585 | EHRET | JASON | CHAD | 6626 E 75TH STREET | INDIANAPOLIS | IN | 462502890 | |
| 1124362520 | MCCONNELL | MARK | 6626 E 75TH STREET | INDIANAPOLIS | IN | 462502890 | ||
| 1730437872 | SINITSYN | JULIA | 6626 E 75TH STREET | INDIANAPOLIS | IN | 462502890 |