MEDICARE: BARBARA RUTH DAVIS 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
1	207Q00000X	Family Medicine Physician	01039457A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000313263	OTHER	IN	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851315154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA RUTH DAVIS M.D.

Provider Business Mailing Address
First Line	:	9568 MEETING ST
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-8300
Country	:	US
Telephone Number	:	317-695-6878
Fax Number	:	317-863-1052

Provider Business Practice Location Address
First Line	:	911 E 86TH ST STE 108
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-4002
Country	:	US
Telephone Number	:	317-756-9896
Fax Number	:	317-863-1052

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	01/09/2025

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