Provider Demographics
NPI:1447342951
Name:JOSEPH, ALLEN BOYCE (MD)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:BOYCE
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 REID PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1157
Mailing Address - Country:US
Mailing Address - Phone:765-962-1337
Mailing Address - Fax:765-966-0858
Practice Address - Street 1:1100 REID PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1157
Practice Address - Country:US
Practice Address - Phone:765-962-1337
Practice Address - Fax:765-966-0858
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01039938207RC0000X, 207RC0001X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000108695OtherANTHEM BC/BS EKG READING
IN200006330Medicaid
000000680796OtherANTHEM
OH0823792Medicaid
IN060039630Medicare PIN
000000680796OtherANTHEM
IN000000108695OtherANTHEM BC/BS EKG READING
IN200006330Medicaid
E93282Medicare UPIN