MAJOR MEDICAL GROUP LLC (NPI# 1609174879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609174879 |
| Entity Type | Organization |
| Organization Name | MAJOR MEDICAL GROUP LLC |
| Practice Address |
30 W Rampart St Suite 210 Shelbyville IN 46176-8846 |
| Mailing Address |
30 W Rampart St Suite 200 Shelbyville IN 46176-8846 |
| Practice Telephone | 3173980121 |
| Mailing Telephone | 3174212012 |
| Mailing Fax Number | 3173981851 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | JOHN HORNER (CEO) |
| Authorized Official Telephone | 3173923211 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAJOR FAMILY MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201147850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629314653 | Major Medical Group LLC | Family Medicine | 1626 E State Rd 44, Ste A, Shelbyville, IN 46176-4057 | 2012-12-19 |
| Street Address |
30 W RAMPART ST SUITE 210 |
| City | SHELBYVILLE |
| State | IN |
| Zip Code | 46176-8846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091935 | James L Peters | Family Medicine | 30 W Rampart St, Ste 210, Shelbyville, IN 46176-8897 | 2005-05-23 |
| 1235625088 | Indianapolis Vamc | Clinic/Center | 30 W Rampart St, Shelbyville, IN 46176-8846 | 2018-07-05 |
| 1740660547 | Alicia Ray-wolfe | Nurse Practitioner | 30 W Rampart St, Suite 210, Shelbyville, IN 46176-8846 | 2015-06-05 |
| 1831589977 | Suzanne Fox | Nurse Practitioner | 30 W Rampart St, Suite 170, Shelbyville, IN 46176-8846 | 2015-01-28 |
| 1922416536 | Anu George | Nurse Practitioner | 30 W Rampart St, Suite 250, Shelbyville, IN 46176-8846 | 2014-07-27 |
| 1891923652 | Advanced Surgical Associates LLC | Surgery | 30 W Rampart St, Ste 230, Shelbyville, IN 46176-8846 | 2009-06-30 |
| 1770746109 | Kevin James Lemme | Orthopaedic Surgery | 30 W Rampart St, Suite 160, Shelbyville, IN 46176-8846 | 2008-07-07 |
| 1497914287 | Sean Martin Garringer | Orthopaedic Surgery | 30 W Rampart St, Suite 160, Shelbyville, IN 46176-8846 | 2008-06-05 |
| 1972718021 | Bartley Orthopedics PC | Orthopaedic Surgery | 30 W Rampart St, Ste 120, Shelbyville, IN 46176-8846 | 2007-05-11 |
| 1952466435 | Evan Ray Eckart | Pediatrics | 30 W Rampart St, Suite 170, Shelbyville, IN 46176-8846 | 2006-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
| 1083138762 | Megan Kari Battles | Specialist/Technologist | 3429 N 625 E, Shelbyville, IN 46176 | 2017-08-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1497202972 | Michael Neice | Non-emergency Medical Transport (VAN) | 4427 N Billman Estate, Shelbyville, IN 46176 | 2016-09-01 |
| 1972869923 | Joseph Moheban | General Practice | 1120 Spring Hill Dr., Shelbyville, IN 46176 | 2012-04-04 |
| 1548595440 | Patrick A Wagner Phd PC | Psychologist | 1253 North Deer Run E Drive, Shelbyville, IN 46176 | 2009-10-09 |
| 1740475326 | Assisted Living Concepts Inc | Assisted Living Facility | 2216 North Riley Highway, Shelbyville, IN 46176 | 2007-09-07 |
| 1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
| 1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
| Find all providers in zip 46176 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699177956 | Shelbyville Medical Group, Pllc | Family Medicine | 221 Lane Parkway, Shelbyville, TN 37160 | 2014-09-18 |
| 1629314653 | Major Medical Group LLC | Family Medicine | 1626 E State Rd 44, Ste A, Shelbyville, IN 46176-4057 | 2012-12-19 |
| 1275811077 | Matthew Ryan Brock | Family Medicine | 116 Frank Martin Rd, Shelbyville, TN 37160-7192 | 2011-07-27 |
| 1598991853 | Bridgette Loreen Carroll | Family Medicine | 865 Taylorsville Rd, Shelbyville, KY 40065-9124 | 2009-06-01 |
| 1437398492 | Major Multispecialty Associates | Family Medicine | 275 W Bassett Rd Ste 4, Shelbyville, IN 46176-8575 | 2009-02-16 |
| 1194915793 | Joseph H. Rupard, M.d., Ph.d. | Family Medicine | 883 Union St, Shelbyville, TN 37160-2607 | 2007-07-30 |
| 1871791293 | Frank L Jayakody Md PC | Family Medicine | 1701 North Main St, Shelbyville, TN 37160 | 2007-07-06 |
| 1245341403 | Samuel Paul Sells Jr. | Family Medicine | 1701 North Main Street, Suite A, Shelbyville, TN 37160 | 2006-08-31 |
| 1932214798 | Laura Lee Rife | Family Medicine | 1626 E State Road 44, Suite B, Shelbyville, IN 46176-4026 | 2006-08-20 |
| 1447288709 | William J Jackson | Family Medicine | 148 Midland Blvd, Shelbyville, KY 40065-9734 | 2006-06-28 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 46176 |
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| 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.