Individual
DR. JAMES ALAN MCPENCOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 S MAIN ST, EMERGENCY DEPARTMENT, CROWN POINT, IN 46307-8481
(219) 757-6310
Mailing address
1201 S MAIN ST, EMERGENCY DEPARTMENT ATTN: MARISA, CROWN POINT, IN 46307-8481
(219) 757-6310
(219) 681-6885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01061558A
IN
207P00000X
Emergency Medicine Physician
01061558A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000531427
ANTHEM BCBS INDIANA
IN
05
—
200844420
—
IN
Enumeration date
06/13/2006
Last updated
04/11/2025
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