Individual
JOHN T CUMMINGS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 N RITTER AVE, STE #479, INDIANAPOLIS, IN 46219-3050
(317) 355-1020
(317) 355-1023
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01031912A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089297
ANTHEM
IN
01
—
000000764466
ANTHEM
IN
01
—
0004055974
AETNA
IN
05
—
100121650A
—
IN
01
—
P01152220
RAILROAD MEDICARE
IN
Enumeration date
07/07/2005
Last updated
04/08/2015
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