IndividualActive
Gary Misamore, MD
NPI 1659324416 · Sports Medicine (Orthopaedic Surgery) Physician · Indianapolis, IN
Provider details
- NPI number
- 1659324416
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01028154A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
201 Pennsylvania Parkway
Suite 200
Indianapolis, IN 46280-2301
Phone: (317) 817-1200
Fax: (317) 208-1551
Approximate (ZIP-level) locationGet directions
Mailing address
201 Pennsylvania Parkway
Indianapolis, IN 46280-2301
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2015-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.