Provider Demographics
NPI:1487657979
Name:CURRIER, JAMES EDWIN (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWIN
Last Name:CURRIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:E
Other - Last Name:CURRIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4218 E COUNTY ROAD 500 S
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47356-9517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1340 N MADISON AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46011-1216
Practice Address - Country:US
Practice Address - Phone:765-622-7600
Practice Address - Fax:765-622-7676
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01031009A2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100321790Medicaid
INP01173964OtherRR MEDICARE PTAN
IN215790EMedicare PIN
INP01173964OtherRR MEDICARE PTAN
IN100321790Medicaid
INC25295Medicare UPIN