Provider Demographics
NPI:1548490972
Name:KAERCHER, ABIGAIL ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:ELIZABETH
Last Name:KAERCHER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:ELIZABETH
Other - Last Name:GINTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
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 1:2000 W BOULEVARD
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-6079
Practice Address - Country:US
Practice Address - Phone:765-776-3900
Practice Address - Fax:765-453-8050
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58030906208600000X
PAMA057378363AS0400X
OH390200000X
IN02007538A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA6145OtherGEORGIA STATE LICENSE
CO2811OtherSTATE OF COLORADO PHYSICIAN ASSISTANT LICENSE
IN300092049Medicaid
PAMA057387OtherSTATE OF PENNSYLVANIA PHYSICIAN ASSISTANT