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1366443400

NPI Code Detail

MEDICARE: DR. JAMES D PIKE D.O.

MEDICARE: DR. JAMES D PIKE D.O.

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	207RP1001X	Pulmonary Disease Physician	02000970A	IN
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	02000970A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DF5450	OTHER		RAILROAD MEDICARE GROUP
3	P00374166	OTHER		RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000505183	OTHER	IN	BC/BS PIN
4	000000505183	OTHER	IN	BCBS PIN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366443400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES D PIKE D.O.

Provider Business Mailing Address
First Line	:	7911 MICHIGAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1915
Country	:	US
Telephone Number	:	317-956-6288
Fax Number	:	317-956-6289

Provider Business Practice Location Address
First Line	:	7911 MICHIGAN RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46268-1915
Country	:	US
Telephone Number	:	317-956-6288
Fax Number	:	317-956-6289

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	04/07/2016

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Directions to “ DR. JAMES D PIKE D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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