| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1124102231 | DAVE | UTPAL | P | 250 N SHADELAND AVE | INDIANAPOLIS | IN | 462194959 | |
| 1881986529 | KREMER | JILL | 250 N SHADELAND AVE STE 130 | INDIANAPOLIS | IN | 462194959 | ||
| 1306592415 | SHORES | APRYLL | MARIE | 250 N SHADELAND AVE | INDIANAPOLIS | IN | 462194959 |