| Dr Scott Edward Mimms, MD | |
|
1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933 | |
| (765) 361-3011 | |
| (765) 362-5540 |
| Full Name | Dr Scott Edward Mimms |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1704 Lafayette Rd Ste 5, Crawfordsville, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104084326 | NPI | - | NPPES |
| 000000781470 | Other | IN | ANTHEM |
| 200986830 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01068514A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Edward Mimms, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Scott Edward Mimms, MD 1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933 Ph: (765) 361-3011 |
Dr. Rami Saydjari, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1630 Lafayette Rd, Suite 300, Crawfordsville, IN 47933 Phone: 765-361-1234 Fax: 765-361-2267 | |
Dan L Stewart, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1630 Lafayette Rd, Suite 300, Crawfordsville, IN 47933 Phone: 765-361-1234 Fax: 765-361-2267 | |
Dr. Kalyan Chowdary Gorantla, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933 Phone: 765-361-3011 Fax: 765-362-5540 |