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NPI Code Detail

MEDICARE: DR. JAMES C SLOAN MD

MEDICARE: DR. JAMES C SLOAN MD
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
1208800000XUrology PhysicianMS0000037426TN
2208800000XUrology Physician01071412AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CI2260OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1020247799OTHERTNEEOICP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
43106044OTHERTNBLUE CROSS
54060948OTHERTNBLUE CROSS
6000000786001OTHERINANTHEM PIN

General Provider Information

NPI Number : 1679573620
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES C SLOAN MD
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5165 MCCARTY LN
Second Line :
City : LAFAYETTE
State : IN
Zip : 47905-8764
Country : US
Telephone Number : 765-448-8000
Fax Number : 765-448-7619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 12/13/2022

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Directions to “ DR. JAMES C SLOAN MD” Practice Location

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