Individual provider Active NPI

Jon Robin Voyles

  • Pediatrics Physician
  • Evansville, IN
National Provider Identifier
1811036460
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01050758A Issued in IN
Practice address
7220 E Virginia St
Evansville, IN 47715-4068
Phone
(812) 473-8986
Fax
(812) 471-6692
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 1050758 IN
Pediatrics Physician 208000000X 01050758A IN Primary

Addresses

Primary practice location

7220 E Virginia St
Evansville, IN 47715-4068

Mailing address

7220 E Virginia St
Evansville, IN 47715-4068

Other identifiers 1

IdentifierTypeStateIssuer
200238920MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jon.voyles.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130514000491 IN Practitioner - Pediatric Medicine 6002053923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01050758AINMDPediatrics Physician
1050758INMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC Pediatrics CurrentSince Feb 25, 2014 Accepting new patients
Primary Physicians Network LLC Pediatrics Current Accepting new patients
St Mary'S Medical Group, LLC CurrentSince Feb 25, 2014 Accepting new patients
St. Mary'S Health, Inc Pediatrics Past Accepting new patients

Locations

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

7220 E Virginia St
Evansville, IN 47715
Phone (812) 473-8986

7240 S US Highway 231
Huntingburg, IN 47542
Phone (812) 683-6336

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

100 St Marys Epworth Xing
Ste A100
Newburgh, IN 47630
Phone (812) 469-8160

Interoperability endpoints

  • Direct secure messaging: jon.voyles.1@7598.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1811036460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 E VIRGINIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 E VIRGINIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477154068",
            "telephone_number": "812-473-8986",
            "fax_number": "812-471-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOYLES",
        "first_name": "JON",
        "middle_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IN",
            "license": "1050758",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01050758A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200238920",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jon.voyles.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "7220 E Virginia St",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477154068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.