# DR. JEFFREY DAVID ORCUTT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538131115
- **Gender:** Man
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 23002319A | IN | Yes |

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 05/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000314709 | BLUE CROSS | IN |
| 01 | — | 000000324100 | BLUE CROSS | IN |
| 01 | — | 000000324101 | BLUE CROSS | IN |
| 01 | — | 000000324102 | BLUE CROSS | IN |
| 01 | — | 000000324103 | BLUE CROSS | IN |
| 01 | — | 000000324104 | BLUE CROSS | IN |
| 01 | — | 000000352573 | BLUE CROSS | IN |
| 05 | — | 200452900 | — | IN |
| 01 | — | P01027067 | MEDICARE RR PTAN | IN |