Provider Demographics
NPI:1730118084
Name:NOCON, JAMES JEFFREY (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JEFFREY
Last Name:NOCON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 44730
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46244-0730
Mailing Address - Country:US
Mailing Address - Phone:317-274-7879
Mailing Address - Fax:317-278-9918
Practice Address - Street 1:550 UNIVERSITY BLVD
Practice Address - Street 2:UH 2440
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5274
Practice Address - Country:US
Practice Address - Phone:317-944-8231
Practice Address - Fax:317-278-9918
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2011-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01036840A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1000068850Medicaid
IN100068850Medicaid
IN100068850Medicaid
896330QMedicare PIN