Provider Demographics
NPI:1114902160
Name:WALING, JOSEPH FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANK
Last Name:WALING
Suffix:
Gender:M
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:PO BOX 1235
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47629-1235
Mailing Address - Country:US
Mailing Address - Phone:812-842-2737
Mailing Address - Fax:812-842-2751
Practice Address - Street 1:4099 GATEWAY BLVD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8954
Practice Address - Country:US
Practice Address - Phone:812-491-1307
Practice Address - Fax:812-842-2751
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-13
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01036700A208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000374873OtherANTHEM
IN100248260BMedicaid
IN000000374873OtherANTHEM
IN100248260BMedicaid
D46398Medicare UPIN