Provider Demographics
NPI:1841274065
Name:RECORDS, JAMES B (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:RECORDS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:890 LOEWS BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-3947
Mailing Address - Country:US
Mailing Address - Phone:317-882-1688
Mailing Address - Fax:317-882-3315
Practice Address - Street 1:890 LOEWS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-3947
Practice Address - Country:US
Practice Address - Phone:317-882-1688
Practice Address - Fax:317-882-3315
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2010-12-15
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Provider Licenses
StateLicense IDTaxonomies
IN01032838207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100153930AMedicaid
IN439980Medicare ID - Type Unspecified
IN100153930AMedicaid