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NPI Code Detail

MEDICARE: JOHN M HUSE M.D.

MEDICARE: JOHN M HUSE 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
1208600000XSurgery Physician01024414AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487659835
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN M HUSE M.D.
Provider Business Mailing Address
First Line : 13430 N MERIDIAN ST
Second Line : SUITE 275
City : CARMEL
State : IN
Zip : 46032-1405
Country : US
Telephone Number : 317-582-8815
Fax Number : 317-582-8825
Provider Business Practice Location Address
First Line : 13430 N MERIDIAN ST
Second Line : SUITE 275
City : CARMEL
State : IN
Zip : 46032-1405
Country : US
Telephone Number : 317-582-8815
Fax Number : 317-582-8825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 01/27/2011

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