Individual
JONAH MATTHEW PERSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 N SENATE BLVD RM AG012, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
Mailing address
1701 N SENATE BLVD RM AG012, INDIANAPOLIS, IN 46202-1239
(317) 962-5975
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01093523A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090540A08
MEDICARE PTAN
IN
Enumeration date
04/08/2022
Last updated
11/26/2025
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