Healthcare Provider Details

I. General information

NPI: 1396789632
Provider Name (Legal Business Name): ROBERT CUTRELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON AVE
EVANSVILLE IN
47714-0541
US

IV. Provider business mailing address

PO BOX 13059
BELFAST ME
04915-4021
US

V. Phone/Fax

Practice location:
  • Phone: 812-485-7040
  • Fax: 812-485-7042
Mailing address:
  • Phone: 317-583-3022
  • Fax: 317-583-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01058201A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01058201A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: