Individual
JAMES T BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5515 W 38TH ST, INDIANAPOLIS, IN 46254-2919
(317) 880-8211
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01062444A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490564
ANTHEM
IN
05
—
200829660
—
IN
Enumeration date
10/04/2006
Last updated
09/11/2025
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