Basic Information
| Provider Information | |||||||||
| NPI: | 1295706646 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CONTE | ||||||||
| FirstName: | ANITA | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 411 PLAZA DR | ||||||||
| Address2: | SUITE H | ||||||||
| City: | COLUMBUS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 472012916 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8123484000 | ||||||||
| FaxNumber: | 8123760678 | ||||||||
| Practice Location | |||||||||
| Address1: | 2400 17TH ST | ||||||||
| Address2: | CRH CANCER CENTER | ||||||||
| City: | COLUMBUS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 472015351 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8123765553 | ||||||||
| FaxNumber: | 8123765930 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2006 | ||||||||
| LastUpdateDate: | 12/08/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RH0003X | 18292 | WI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 174400000X | 01048034A | IN | N | Other Service Providers | Specialist | 207RH0003X | 01048034 | IN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 000000084963 | 01 | ANTHEM | OTHER | 200194640 | 05 | IN | MEDICAID | 5469766 | 01 | AETNA | OTHER | 000000991169 | 01 | IN | ANTHEM PIN | OTHER |