MEDICARE: MARTIN J KAPLAN M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	01022778	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	1000006667	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000084163	OTHER	IN	BCBS PROVIDER NUMBER
2	2002462001	OTHER	IN	CIGNA PROVIDER NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4047086	OTHER	IN	AETNA PROVIDER NUMBER
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164411203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN J KAPLAN M.D

Provider Business Mailing Address
First Line	:	1234 E DUPONT RD
Second Line	:	SUITE 3
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-1545
Country	:	US
Telephone Number	:	260-373-9965
Fax Number	:	260-458-5664

Provider Business Practice Location Address
First Line	:	3439 HOBSON RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-1617
Country	:	US
Telephone Number	:	260-484-2524
Fax Number	:	260-482-9539

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	04/11/2011

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Directions to “ MARTIN J KAPLAN M.D” Practice Location

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