David J Julian, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

61625379A Issued in IN

Practice address

1900 W 4TH St
Mt Vernon, IN 47620

Phone

(812) 838-2231

Fax

(812) 838-4628

NPI assigned

Mar 24, 2006

Last updated

Feb 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1629038724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 4TH ST",
            "city": "MT VERNON",
            "state": "IN",
            "postal_code": "47620",
            "telephone_number": "812-838-2231",
            "fax_number": "812-838-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 4TH ST",
            "city": "MT VERNON",
            "state": "IN",
            "postal_code": "47620",
            "telephone_number": "812-838-2231",
            "fax_number": "812-838-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "61625379A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100210120A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000042339",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hook-Superx LLC (CVS Pharmacy # 06256)
• Justin Hupp
• Indiana Health and Rehabilitation Centers (Mount Vernon Nursing & Rehabilitation Center)
• Kimberly Ann Jackson, N.P.
• James a Rice DO LLC
• Keitel Eye Care, P.C.
• Darin Wayne Keitel, O.D.
• Erica Klueh, PTA
• Kathryn M Lee-Kalsch, M.D.
• Joseph Matthew Lee, M.D.

• Family Medicine Physician in Mount Vernon, IN
• Providers in Mount Vernon, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.