SearchIndiana225100000X

Jack Degroot

NPI 1215868021 · on the registry since 2026

Practice

Address
1150 W 86th St
Indianapolis, IN 46260
Phone
(317) 688-7600
Fax
(317) 580-0107
Clinicians at this address
4

Additional practice sites

  • 1086 N Avon Ave, Avon, IN

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana