Individual
JOHN W WY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-7040
(812) 485-7042
Mailing address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01064117A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532443
ANTHEM PIN
—
01
—
100180890G
MEDICAID GROUP
IN
05
—
200873000
—
IN
01
—
50022487
PASSPORT
KY
05
—
7100018670
—
KY
01
—
P00418326
RAIL ROAD MEDICARE
—
Enumeration date
07/20/2006
Last updated
05/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us