Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 1044640 | IN |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 1044640 | IN |
NPI | 1043281470 |
---|---|
Provider Name | Dr. Jeffrey Romont Ginther |
First Address | Rushville, IN 46173-1116 |
Second Address | Rushville, IN 46173-1116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 17/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000214539 | ANTHEM (01) | IN |
10401884 | CAQH (01) | |
200043027 | MEDICARE RAIL ROAD (01) | IN |
200228440 | (05) | IN |
200241550Z | (05) | IN |
F73747 | (02) | IN |