Individual
JON J JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12544 ANCHORAGE WAY, FISHERS, IN 46037-9586
(317) 915-1475
Mailing address
12544 ANCHORAGE WAY, FISHERS, IN 46037-9586
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01042313
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085876
ANTHEM
IN
01
—
000000764306
ANTHEM
IN
01
—
020024683
MEDICARE RAILROAD
IN
05
—
100421600
—
IN
05
—
100421600A
—
IN
01
—
P01157045
MEDICARE RAILROAD
IN
Enumeration date
06/30/2005
Last updated
03/05/2025
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