Eduardo Emmanuel Jr Endaya Tacolod
Registered Nurse in Indianapolis, IN. Individual provider (NPI-1).
NPI number1366950552
StatusActive
Last updated in NPPESJan 22, 2018
Details
- NPI
- 1366950552
- Entity type
- Individual (NPI-1)
- Name
- Eduardo Emmanuel Jr Endaya Tacolod
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2018
- Last updated
- Jan 22, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 656933 | NY | Yes |
Practice location
7345 Woodland Dr Ste DIndianapolis, IN 46278-1737
Phone 317-286-2885 · Fax 317-536-3097
Mailing address
7345 Woodland Dr Ste DIndianapolis, IN 46278-1737
Phone 317-286-2885 · Fax 317-536-3097
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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