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NPI Code Detail

MEDICARE: JOHN D EMHARDT M.D.

MEDICARE: JOHN D EMHARDT 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
1207L00000XAnesthesiology Physician01032249IN
2207LP3000XPediatric Anesthesiology Physician01032249IN

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 : 1699725994
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN D EMHARDT M.D.
Provider Business Mailing Address
First Line : 1120 SOUTH DR
Second Line : FESLER HALL, RM. 204
City : INDIANAPOLIS
State : IN
Zip : 46202-5135
Country : US
Telephone Number : 317-274-0273
Fax Number : 317-567-2191
Provider Business Practice Location Address
First Line : 702 BARNHILL DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46202-5128
Country : US
Telephone Number : 317-274-0273
Fax Number : 317-567-2191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 12/15/2009

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Directions to “ JOHN D EMHARDT M.D.” Practice Location

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