Individual
DR. JAMES C RANSBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 CAREW ST, SUITE 260, FORT WAYNE, IN 46805-4788
(260) 373-9250
(260) 373-9262
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01033814A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358368
ANTHEM BC/BS
IN
05
—
100107170A
—
IN
01
—
110043724
RAILROAD MEDICARE
IN
Enumeration date
06/23/2006
Last updated
07/08/2021
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