FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC.


Address: 1941 Virginia Ave, Connersville, IN 47331-2833
Phone: 7658278933

FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC. (NPI# 1518927128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518927128
Entity Type Organization
Organization Name FAYETTE MEMORIAL HOSPITAL ASSOCIATION INC.
Other Organization Name FAYETTE SALARIED PHYSICIANS
Practice Address 1941 Virginia Ave
Connersville
IN 47331-2833
Practice Telephone 7658278933
Practice Fax Number 7658277863
Mailing Telephone 7658255131
Mailing Fax Number 7658277863
Enumeration Date 2006-03-27
Last Update Date 2016-04-08
Authorized Official Name RANDALL WHITE (CEO)
Authorized Official Telephone 7658255131
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100268220 05

Other Provider/Organization Names

Other Name Type Code
Fayette Salaried Physicians Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073582730 Fayette Memorial Hospital Association Inc. Clinic/Center 11137 Us Highway 52 Suite A, Brookville, IN 47012 2006-03-15
1083719413 Fayette Memorial Hospital Association Inc. Specialist 1941 Virginia Ave, Connersville, IN 47331-2833 2006-09-13
1508825720 Fayette Memorial Hospital Association Inc. General Acute Care Hospital 1941 Virginia Ave, Connersville, IN 47331-2833 2006-03-18

Office Location

Street Address 1941 VIRGINIA AVE
City CONNERSVILLE
State IN
Zip Code 47331-2833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609856996 Gabor L Tolnay Pathology 1941 Virginia Ave, Connersville, IN 47331-2833 2006-01-20
1134692775 Hcc of Connersville, LLC Emergency Medicine 1941 Virginia Ave, Connersville, IN 47331-2833 2019-01-07
1700351046 Ess of Connersville, LLC Emergency Medicine 1941 Virginia Ave, Connersville, IN 47331-2833 2018-10-12
1114409844 Dashell Lynn Tout Licensed Practical Nurse 1941 Virginia Ave, Connersville, IN 47331-2833 2018-08-29
1356790042 Siskin Physicians LLC Emergency Medicine 1941 Virginia Ave, Connersville, IN 47331-2833 2016-06-03
1295146165 Georgia Wagner Dietitian, Registered 1941 Virginia Ave, Connersville, IN 47331-2833 2014-05-14
1316369291 Medical Hospitalists LLC Hospitalist 1941 Virginia Ave, Connersville, IN 47331-2833 2014-01-13
1205273554 Resource Anesthesiology Associates of In LLC Nurse Anesthetist, Certified Registered 1941 Virginia Ave, Connersville, IN 47331-2833 2013-05-28
1225394919 Connorsville Emergency Group PC Physician Assistant 1941 Virginia Ave, Connersville, IN 47331-2833 2012-04-06
1326353236 Preferred Emergency Specialists, LLC Emergency Medicine 1941 Virginia Ave, Connersville, IN 47331-2833 2010-08-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275062630 Williams Creek Health Center Chiropractor 685 S Co Rd 350 W, Connersville, IN 47331 2017-06-08
1801275201 Americas Best Foot and Ankle Specialists Podiatrist 1475 East State Road 44 Suite 7., Whitewater Valley Medical Center, Connersville, IN 47331 2015-05-19
1508027269 Kevin Andrew Yaryan Optometrist 522 N Eastern Ave, Connersville, IN 47331 2008-06-24
1477694602 Residential Crf, Inc. Intermediate Care Facility, Mentally Retarded 556 S Co Rd 550 W, Connersville, IN 47331 2007-02-09
1316024904 Mark Milton Wynn Chiropractor 208 W 20th St, Connersville, IN 47331 2006-11-01
1356368104 Fayette County Government Clinic/Center 401 Central Ave, Connersville, IN 47331 2006-07-17
1760437818 Karl Phillip Greene Optometrist 2045 Virginia Avenue, Connersville, IN 47331 2006-05-24
1225098825 Fayette Memorial Hospital Assoc Inc Clinic/Center 3542 N Western Ave, Connersville, IN 47331 2006-03-27
1437118973 Jereme Shawn Pflum Chiropractor 685 S. C.r. 350 W, Connersville, IN 47331 2006-03-22
1649279258 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 281 S County Road 200 E, Connersville, IN 47331 2005-07-15
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508489931 Gentle Hearts Cardiovascular Institution LLC Internal Medicine 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 2020-05-20
1689228587 Milton Lethan Pressler Internal Medicine 1243 Skytag Dr, Carmel, IN 46032-6301 2019-07-29
1790231926 Perry County Cardiology LLC Internal Medicine 8735 State Road 37, Suite B, Tell City, IN 47586-8349 2016-08-28
1164887329 Heart and Vascular Center, LLC Internal Medicine 604 Cambridge Ct, 1b, Munster, IN 46321-2458 2015-12-15
1487061131 Beacon Medical Group, Inc. Internal Medicine 2400 N Ventura Way, Lagrange, IN 46761-4101 2014-07-15
1174939003 Hassan Majed Mostafa Internal Medicine 13100 E 136th St Ste 3000, Fishers, IN 46037-9817 2014-07-11
1619306222 Cardiology Associates of Nw Indiana, PC Internal Medicine 10010 Don Powers Dr, Munster, IN 46321-4054 2013-11-04
1487996450 Richard Bruce Wenzler Internal Medicine 875 Sugarbush Rdg, Zionsville, IN 46077-1911 2013-03-18
1164774816 Jeffrey Scott Riesmeyer Internal Medicine 10582 Brooks School Rd, Fishers, IN 46037-9720 2012-10-04
1124381751 Robert W Godley II Internal Medicine Community Physicians of Indiana, Inc., 1402 E. County Line Rad, Indianapolis, IN 46227-0963 2012-06-19
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Competitor

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City CONNERSVILLE
Zip Code 47331

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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