Provider Demographics
NPI:1508905431
Name:SWEENEY, MEREDITH CLAIRE (MD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:CLAIRE
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:CLAIRE
Other - Last Name:MCMAHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6626 E 75TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2890
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1210 MEDICAL ARTS BLVD STE 215
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-3439
Practice Address - Country:US
Practice Address - Phone:765-298-4140
Practice Address - Fax:765-298-4941
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY44481208600000X
390200000X
IN01071184A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201035590OtherMEDICAID- NHWM
KY127462OtherSIHO- NORTON HWM
KY000000724360OtherANTHEM- NHWM
KY000057120ZOtherHUMANA- NHWM
KY3156568OtherCIGNA- NHWM
KY7100136950OtherMEDICAID- NHWM
KYK009310OtherMEDICARE PTAN- NORTON HWM