Provider Demographics
NPI:1043282197
Name:SPURGEON, JOYCE ADAMS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:ADAMS
Last Name:SPURGEON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 S WALNUT ST STE 221
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2993
Mailing Address - Country:US
Mailing Address - Phone:812-523-7852
Mailing Address - Fax:812-523-7853
Practice Address - Street 1:415 S WALNUT ST STE 221
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2993
Practice Address - Country:US
Practice Address - Phone:812-523-7852
Practice Address - Fax:812-523-7853
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056449A2084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200499950Medicaid
KY396166OtherTRICARE
KY64100910Medicaid
KYI26417Medicare UPIN
IN200499950Medicaid
KY0878429Medicare PIN