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NPI Code Detail

MEDICARE: DR. ROBERT M WORTH M.D.

MEDICARE:  DR. ROBERT M WORTH  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
1207T00000XNeurological Surgery Physician01022929IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000640500OTHERINANTHEM BLUE CROSS AND BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407859028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT M WORTH M.D.
Provider Business Mailing Address
First Line : 8333 NAAB RD
Second Line : SUITE 250
City : INDIANAPOLIS
State : IN
Zip : 46260-5924
Country : US
Telephone Number : 317-396-1300
Fax Number : 317-396-1346
Provider Business Practice Location Address
First Line : 355 W 16TH ST
Second Line : SUITE 5100
City : INDIANAPOLIS
State : IN
Zip : 46202-2207
Country : US
Telephone Number : 317-396-1300
Fax Number : 317-924-8472
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 09/26/2012

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Directions to “ DR. ROBERT M WORTH M.D.” Practice Location

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