MEDICARE: DR. ROBERT C JEFFREY 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
1	207L00000X	Anesthesiology Physician	01025377A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00067427	OTHER	IN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	351443638	OTHER	IN	TRICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	000000084043	OTHER	IN	ANTHEM BLUE CROSS

General Provider Information

NPI Number	:	1871694273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT C JEFFREY MD

Provider Business Mailing Address
First Line	:	4401 S 650 W
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-1548
Country	:	US
Telephone Number	:	812-342-1050
Fax Number	:	812-342-9620

Provider Business Practice Location Address
First Line	:	10331 W POND DR
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-1548
Country	:	US
Telephone Number	:	812-342-1050
Fax Number	:	812-342-9620

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/21/2022

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Directions to “ DR. ROBERT C JEFFREY MD” Practice Location

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