Unknown Individual – Physician Assistant, NPI 1124113998
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2502 25th St
Columbus, IN 472013728
Phone: (812) 372-8883
Fax: (812) 372-8964
Type: Location
106, West Layton Avenue, Town of Lake, Milwaukee, Milwaukee County, Wisconsin, 53207, United States
MILWAUKEE, WI 532212600
Phone: (414) 242-5468
Fax: (888) 724-0875
Type: Mailing
745, North Swope Street, Greenfield Courthouse Square Historic District, Greenfield, Hancock County, Indiana, 46140, United States
GREENFIELD, IN 46140
Phone: (317) 462-9221
Fax: (317) 462-3400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN |
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