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JEFFREY A VANCUREN M.D. NPI 1821058363


NPI Information

NPI: 1821058363
Provider Name: JEFFREY A VANCUREN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1025 MICHIGAN AVE
SUITE 115
LOGANSPORT, IN
ZIP 46947
Phone: (574) 722-3566
Get Directions

Jeffrey A Vancuren, M.D. is an obstetrics gynecology in Logansport, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Jeffrey A Vancuren, M.D. NPI is 1821058363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1025 MICHIGAN AVE
SUITE 115
LOGANSPORT, IN
ZIP 46947-593
Phone: (574) 722-3566
Fax: (574) 753-6118

The enumeration date for this NPI number is 3/27/2006 and was last updated on 7/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology01046838INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G42783MEDICARE UPININDIANA
2200124110AMEDICAIDINDIANA
3940670A1MEDICARE PININDIANA
4111880EMEDICARE ID-TYPE UNSPECIFIEDINDIANA
5200124110MEDICAIDINDIANA
6000000524942OTHERINDIANAANTHEM BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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