Provider Demographics
NPI:1104870989
Name:ARNOLD, TODD W (MD)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:W
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16198 MORNING DR
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-5200
Mailing Address - Country:US
Mailing Address - Phone:317-441-2829
Mailing Address - Fax:317-732-7878
Practice Address - Street 1:16198 MORNING DR
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-5200
Practice Address - Country:US
Practice Address - Phone:317-441-2829
Practice Address - Fax:317-732-7878
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01054035A207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN080184462OtherRR MEDICARE PIN
IN200344780Medicaid
IN200344780Medicaid
IN797310KKMedicare PIN
ING40166Medicare UPIN