Provider Demographics
NPI:1700885464
Name:HEALD, JOYCE A (MD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:A
Last Name:HEALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 SOUTHFIELD DR
Mailing Address - Street 2:SUITE 1370
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-4498
Mailing Address - Country:US
Mailing Address - Phone:317-837-5571
Mailing Address - Fax:317-837-5580
Practice Address - Street 1:1152 E US HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE
Practice Address - State:IN
Practice Address - Zip Code:46105-9604
Practice Address - Country:US
Practice Address - Phone:765-522-1889
Practice Address - Fax:765-522-3583
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01028605A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000109331OtherANTHEM BCBS #
IN100096680AMedicaid
C58965Medicare UPIN
IN100096680AMedicaid
INCD5238Medicare PIN
IN184640MMedicare PIN