Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01030554A | IN |
Y | 208800000X | Urologist | 01030554A | IN |
NPI | 1013921709 |
---|---|
Provider Name | Dr. Peter M Knapp JR. |
First Address | Greenwood, IN 46143-1049 |
Second Address | Carmel, IN 46032-4410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000091698 | ANTHEM PIN NUMBER (01) | IN |
100194370 | MEDICAID GROUP NUMBER (01) | IN |
100238320 | (05) | IN |
1487680518 | GROUP NPI (01) | IN |
200288740 | MEDICAID GROUP NUMBER (01) | IN |
340012495 | MEDICARE RAILROAD (01) | IN |
340012513 | MEDICARE RAILROAD (01) | IN |
340012527 | MEDICARE RAILROAD (01) | IN |
D70797 | (02) | IN |