Male or Other

Sean D. Gussick MD

Diagnostic Radiology Physician in Indianapolis, IN(View on Map)

Full Name

Sean David Gussick MD

NPI Number

1013179829

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/02/2008

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

01063216A

Contact
Information

Purpose

Mailing
Location

Address

250 N SHADELAND AVE
1701 N SENATE BLVD

City

Indianapolis
Indianapolis

State

IN
IN

Postal Code

46219-4959
46202-1239

Country

US
US

Telephone Number

N/A
(317) 962-5740

Identifiers

Identifier

200988960
P00851233

Identifier State

IN
IN

Identifier Issuer

Unknown
RAILROAD MEDICARE

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

sgussick@direct.iuhealth.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1701 N Senate BlvdRadiology DeptIndianapolis, IN462021239US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/29/2021

Provider Address

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