Individual
CODY MITCHEL JINNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202-5209
(317) 278-2689
Mailing address
1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202-5209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02006968A
IN
207RI0200X
Infectious Disease Physician
Primary
02006968A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104197523
ANTHEM PTAN
IN
05
—
300092620
—
IN
Enumeration date
04/11/2019
Last updated
05/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us