Provider Demographics
NPI:1144298506
Name:ARVIN, MARK CURTIS (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:CURTIS
Last Name:ARVIN
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 1:1200 W WHITE RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-4988
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5165 MCCARTY LN
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-8764
Practice Address - Country:US
Practice Address - Phone:765-448-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01037656A2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100196890Medicaid
IN9274772OtherPHCS PID NUMBER
INP00650454OtherRAILROAD MEDICARE
IN10824711OtherCAQH NUMBER
IN000000184724OtherANTHEM PIN NUMBER
IN219950E8Medicare PIN
IN000000184724OtherANTHEM PIN NUMBER
INE50558Medicare UPIN
IN142080TTMedicare PIN
IN300085567Medicare PIN
IN959090U6Medicare PIN
IN815520AAAMedicare PIN
INP00650454OtherRAILROAD MEDICARE
IN815510VVMedicare PIN
IN870630GMedicare PIN
IN815500MMMedicare PIN
IN185510LLMedicare PIN