Roy Elliott Cecchi, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Jasper, IN
NPI 1245347137 · NPPES record last updated Feb 4, 2011
Key facts
- NPI
- 1245347137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 01041439 (IN)
- Practice address
- 613 Dorbett Street
Jasper, IN 47546 - Phone
- (812) 634-7123
- Fax
- (812) 482-9551
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01041439 | IN | Yes |
Addresses
Primary practice location
613 Dorbett Street
Jasper, IN 47546
Mailing address
613 Dorbett Street
Jasper, IN 47546-2615
Phone (812) 634-7123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100111070 | Medicaid | IN |
Other providers in Jasper, IN
- Meghan R Carroll
- Cindy L Casey
- Steven Casper
- Kodi Deshell Kay-Lynn Catt
- Arianna Mae Cavazos
- Kajori Chakravorty
- Soyoung Ryu Chatfield
- Jashanjit Singh Cheema
- Joann Childress
- Clay Street Eyecare P.C.
All providers in Jasper, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.