Joseph Car, MD

Individual provider Active NPI Internal Medicine Physician · Spencer, IN

NPI 1174580427 · NPPES record last updated Nov 29, 2011

Key facts

NPI
1174580427
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
01042643 (IN)
Practice address
9 N Crane Ave
Spencer, IN 47460-1507
Phone
(812) 829-2237
Fax
(812) 829-6342
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160308001556 IN Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
4082748249

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01042643INMDInternal Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01042643 IN Yes

Addresses

Primary practice location

9 N Crane Ave
Spencer, IN 47460-1507

Mailing address

PO Box 1329
Bloomington, IN 47402-1329
Phone (812) 353-3996

Other identifiers

IdentifierTypeStateIssuer
100387060AMedicaidIN

Other providers in Spencer, IN

All providers in Spencer, IN · Internal Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.