Provider Demographics
NPI:1104887066
Name:HELM, ROBERT JAMES (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JAMES
Last Name:HELM
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:PO BOX 474
Mailing Address - Street 2:
Mailing Address - City:ELWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46036-0474
Mailing Address - Country:US
Mailing Address - Phone:765-552-7316
Mailing Address - Fax:765-552-7306
Practice Address - Street 1:1520 S R ST
Practice Address - Street 2:
Practice Address - City:ELWOOD
Practice Address - State:IN
Practice Address - Zip Code:46036
Practice Address - Country:US
Practice Address - Phone:765-552-7316
Practice Address - Fax:765-552-7306
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01033774A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00003143OtherRAILROAD MEDICARE
IN100172220AMedicaid
000000089203OtherANTHEM BCBS
000000089203OtherANTHEM BCBS
IN100172220AMedicaid