Healthcare Provider Details

I. General information

NPI: 1699949313
Provider Name (Legal Business Name): JEFFREY R GINTHER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 04/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

493 WESTFIELD RD STE A
NOBLESVILLE IN
46060-1304
US

IV. Provider business mailing address

110 LAKEVIEW DR #5
NOBLESVILLE IN
46060-1325
US

V. Phone/Fax

Practice location:
  • Phone: 317-770-4100
  • Fax: 317-770-4105
Mailing address:
  • Phone: 317-770-4100
  • Fax: 317-770-4105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number1044640
License Number StateIN

VIII. Authorized Official

Name: MRS. ELIZABETH GINTHER
Title or Position: ADMINISTRATOR
Credential: BA, MS
Phone: 317-770-4100