Provider Demographics
NPI:1295706646
Name:CONTE, ANITA F (MD)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:F
Last Name:CONTE
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 1:411 W TIPTON ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2363
Mailing Address - Country:US
Mailing Address - Phone:812-522-0480
Mailing Address - Fax:812-522-0195
Practice Address - Street 1:200 HIGH PARK AVE
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-4810
Practice Address - Country:US
Practice Address - Phone:574-364-2888
Practice Address - Fax:574-364-2590
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18292207RH0003X
IN01048034A207RH0003X
IN01048034207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5469766OtherAETNA
000000084963OtherANTHEM
IN000000991169OtherANTHEM PIN
IN200194640Medicaid
000000084963OtherANTHEM
IN200194640Medicaid
IN900002189Medicare PIN
INM400062538Medicare PIN
ING64107Medicare UPIN
ININ2762010Medicare PIN
IN250960SMedicare PIN
IN256630FMedicare PIN
IN114620UMedicare PIN
P00302521Medicare PIN