DR. JOHN FREDERICK DOEPKER JR. (NPI# 1437239746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437239746 |
| Entity Type | Individual |
| Full Name | DR. JOHN FREDERICK DOEPKER JR. |
| Credential | M.D. |
| Practice Address |
520 Mary Street Suite 520 Evansville IN 47710 |
| Mailing Address |
520 Mary Street Suite 520 Evansville IN 47710-1682 |
| Practice Telephone | 8124248231 |
| Practice Fax Number | 8124358794 |
| Mailing Telephone | 8124248231 |
| Mailing Fax Number | 8124358794 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 01026516A | IN | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
01026516A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100248180 | 05 | |
| KY | 64754690 | 05 | |
| IN | BC/BS | 000000851554 | 01 |
| Street Address |
520 MARY STREET SUITE 520 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225042310 | Kristi Kay Peck | Surgery | 520 Mary Street, Suite 520, Evansville, IN 47710 | 2006-07-27 |
| 1669614103 | Deaconess Clinic Inc. | Internal Medicine | 520 Mary Street, Suite 140, Evansville, IN 47710-1669 | 2009-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801036132 | Sholar Center for Aesthetic Surgery | Surgery | 445 Cross Pointe Blvd., Suite 230, Evansville, IN 44715-4013 | 2009-02-26 |
| 1013164425 | Dawn M Burgess | Surgery | 2701 Lincoln Ave, Evansville, IN 47714-1627 | 2008-08-27 |
| 1790896462 | Deaconess Hospital, Inc | Surgery | 421 Chestnut St, Evansville, IN 47713-1227 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982050340 | Eric Pittelkow | Surgery | 545 Barnhill Drive Emerson Hall, Suite 232, Indianapolis, IN 46202 | 2016-05-04 |
| 1639577794 | Petrungaro Plastic Surgery, LLC | Surgery | 800 Macarthur Blvd Ste 21, Munster, IN 46321-2918 | 2014-12-05 |
| 1164654257 | Erin Weber | Surgery | 1801 N Senate Blvd Ste 525, Indianapolis, IN 46202-1253 | 2009-08-21 |
| 1669677142 | Jaime Marie Ranieri | Surgery | 8051 S Emerson Ave Ste 450, Indianapolis, IN 46237-8667 | 2007-06-15 |
| 1770708158 | Kimberly K Short | Surgery | 8455 Clearvista Place, Indianapolis, IN 46256-2419 | 2007-04-13 |
| 1780770255 | Belarmino T Frogozo | Surgery | 501 E Hospital Ln Ste 107, Terre Haute, IN 47802-4230 | 2006-10-04 |
| 1740223510 | Elizabeth A Grasee | Surgery | 12425 Old Meridian St, Suite #b1, Carmel, IN 46032-8724 | 2006-06-13 |
| 1578517553 | Robert E Frank | Surgery | 931 Ridge Rd, Suite A, Munster, IN 46321-1755 | 2006-05-22 |
| 1558344697 | William A Wooden | Surgery | 260 Emerson Hall, 545 Barnhill Dr, Indianapolis, IN 46202-5200 | 2005-11-22 |
| 1881690790 | Jeffrey David Wagner | Surgery | 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 | 2005-06-24 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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| 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.