JOHN THOMAS MINTURN


Address: 10300 N Illinois St, Suite #1030, Indianapolis, IN 46290-1166
Phone: 3178171586

JOHN THOMAS MINTURN (NPI# 1073513628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073513628
Entity Type Individual
Full Name JOHN THOMAS MINTURN
Credential M.D.
Practice Address 10300 N Illinois St
Suite #1030
Indianapolis
IN 46290-1166
Practice Telephone 3178171586
Practice Fax Number 3178171399
Mailing Telephone 3178171586
Mailing Fax Number 3178171399
Enumeration Date 2005-07-26
Last Update Date 2017-10-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 01035051A IN Allopathic & Osteopathic Physicians
Y 207WX0107X Ophthalmology
Specialization: Retina Specialist
01035051A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100226850B 05

Office Location

Street Address 10300 N ILLINOIS ST
SUITE #1030
City INDIANAPOLIS
State IN
Zip Code 46290-1166

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336147230 Richard Burgett Ophthalmology 10300 N Illinois St, Suite 2020, Indianapolis, IN 46290-1166 2005-07-13
1316398514 Circle City Neuro-ophthalmology, LLC Ophthalmology 10300 N Illinois St, Suite 1000, Indianapolis, IN 46290-1164 2016-06-29
1477903789 Lai Vision and Surgery, LLC Ophthalmology 10300 N Illinois St, Suite 1000, Indianapolis, IN 46290-1164 2016-06-16
1508277542 Nicholas F Hrisomalos Md PC Ophthalmology 10300 N Illinois St, Suite 1070, Indianapolis, IN 46290-1167 2014-05-13
1639455066 Midwest Cornea Associates, LLC Ophthalmology 10300 N Illinois St, Suite 1040, Indianapolis, IN 46290-1166 2011-10-31
1164659751 Kevin Enpei Lai Ophthalmology 10300 N Illinois St, Suite 1000, Indianapolis, IN 46290-1164 2009-06-22
1467699090 Raj K. Maturi Md PC Ophthalmology 10300 N Illinois St, Suite 1060, Indianapolis, IN 46290-1166 2009-01-20
1194758672 Midwest Glaucoma Associates Ophthalmology 10300 N Illinois St, Suite 1010, Indianapolis, IN 46290-1164 2006-07-08
1578522850 Robert D Deitch Ophthalmology 10300 N Illinois St, Suite 1040, Indianapolis, IN 46290-1166 2006-03-23
1568452340 Nicholas Frank Hrisomalos Ophthalmology 10300 N Illinois St, Suite1070, Indianapolis, IN 46290-1167 2005-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821548777 American Behavioral Counseling Social Worker 10386 Spring Highland Dr, Indianapolis, IN 46290 2016-10-04
1518042431 James Lamar Jones Psychologist 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 2006-10-26
1437245917 Bradley Scott Gunter Physical Therapy Assistant 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 2006-10-04
1790261576 Kristiana Michelle Sannella Physician Assistant 10590 N Meridian St # 105, Indianapolis, IN 46290 2018-07-16
1023534815 Mitchell James Vansumeren Psychologist 10291 N Meridian St Ste 310, Indianapolis, IN 46290 2017-08-14
1801281670 Elizabeth Tibbs Physician Assistant 10590 N Meridian St Ste 105, Indianapolis, IN 46290 2015-03-30
1447510722 Bradley A Clark Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290 2012-05-21
1528333861 Edward Mark Shmukler Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290 2012-03-20
1386938272 Bryce S Lynn Internal Medicine 10590 N Meridian St, Indianapolis, IN 46290 2011-06-08
1063610301 Babar Sultan Otolaryngology 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 2007-07-09
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Taxonomy Information

Taxonomy Code 207WX0107X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Retina Specialist

Taxonomy Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new]
- Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770585838 Thomas Anthony Ciulla Ophthalmology 200 W 103rd St, Suite 1050, Indianapolis, IN 46290-1017 2005-06-02
1508277542 Nicholas F Hrisomalos Md PC Ophthalmology 10300 N Illinois St, Suite 1070, Indianapolis, IN 46290-1167 2014-05-13
1568452340 Nicholas Frank Hrisomalos Ophthalmology 10300 N Illinois St, Suite1070, Indianapolis, IN 46290-1167 2005-10-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235637075 Madison Eye Center LLC Ophthalmology 601 Broadway St, Madison, IN 47250-3362 2018-01-26
1093999609 Retina & Vitreous L L C Ophthalmology 53822 Generations Drive, South Bend, IN 46635-1543 2007-12-19
1295730299 Prince D Samuel Ophthalmology 4221 Washington Ave, Evansville, IN 47714-0675 2005-06-16
1902800493 Ramana S Moorthy Ophthalmology 10585 N Meridian St Ste 100, Carmel, IN 46290-1066 2005-06-13
1851840599 Highland Retina Associates, LLC Ophthalmology 1530 N 7th St, Suite 502, Terre Haute, IN 47807-1057 2016-09-22
1043579550 Midwest Eye Consultants, P.C. Ophthalmology 611 E Douglas Rd, Suite 102, Mishawaka, IN 46545-1464 2012-05-04
1033478540 Midwest Eye Consultants, P.C. Ophthalmology 1601 W Lincoln Rd, Kokomo, IN 46902-3275 2012-05-04
1588923098 Midwest Eye Consultants, P.C. Ophthalmology 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4135 2012-05-04
1164493011 Theodore Jere Stransky Ophthalmology 350 W Columbia St, Suite 250, Evansville, IN 47710-1782 2006-01-30
1447232806 Scott C Richards Ophthalmology 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 2005-11-18
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Competitor

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City INDIANAPOLIS
Zip Code 46290

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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