MR. JAMES WESLEY ARCHER


Address: 1520 S Liberty Dr, Bloomington, IN 47403-5167
Phone: 8126764500

MR. JAMES WESLEY ARCHER (NPI# 1669695367) 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) 1669695367
Entity Type Individual
Full Name MR. JAMES WESLEY ARCHER
Credential MD
Practice Address 1520 S Liberty Dr
Bloomington
IN 47403-5167
Mailing Address Po Box 1329
Bloomington
IN 47402-1329
Practice Telephone 8126764500
Practice Fax Number 8126764501
Enumeration Date 2007-04-11
Last Update Date 2016-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 01063050A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200864430 05

Other Providers JAMES ARCHER

NPI Name Taxonomy Address Enumeration
1073754891 James Mercer Archer Military Health Care Provider 2450 Ruger Dr Ne, Marietta, GA 30066-1422 2009-03-09
1770699985 James Donald Archer Social Worker 350 Central Park W, New York, NY 10025-6547 2006-08-21
1790747293 James S Archer Urology 1211 N Shartel Ave, Suite 300, Oklahoma City, OK 73103-2400 2006-04-03

Office Location

Street Address 1520 S LIBERTY DR
City BLOOMINGTON
State IN
Zip Code 47403-5167

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972505923 Lela C Johnson Internal Medicine 1520 S Liberty Dr, Bloomington, IN 47403 2005-06-02
1407408933 Colin Frank Pharmacist 1520 S Liberty Dr, Bloomington, IN 47403-5167 2019-07-15
1073172532 Stephanie M West Physician Assistant 1520 S Liberty Dr, Bloomington, IN 47403-5167 2019-06-10
1003399759 Beverly J Shamloo Nurse Practitioner 1520 S Liberty Dr, Bloomington, IN 47403-5167 2018-09-10
1578940151 Ashley Shumate Urology 1520 S Liberty Dr, Bloomington, IN 47403-5167 2015-05-02
1790075596 Amanda Jean Pettibone-pond Urology 1520 S Liberty Dr, Bloomington, IN 47403-5167 2011-04-13
1407186687 Shaun M Altneu Internal Medicine 1520 S Liberty Dr, Bloomington, IN 47403-5167 2010-01-11
1811140064 Laura Bryce Knudson Family Medicine 1520 S Liberty Dr, Bloomington, IN 47403-5167 2008-11-01
1548427123 Paula J Bunde Urology 1520 S Liberty Dr, Bloomington, IN 47403-5167 2008-05-21
1548489834 Heather Dawn Anderson Nurse Practitioner 1520 S Liberty Dr, Bloomington, IN 47403 2007-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073165650 Genevieve Elon Monge Family Medicine 18651 Valley Blvd, Bloomington, CA 92316-1831 2019-07-12
1982117172 Andry Medical Services Family Medicine 451 S Park Ridge Rd Ste 101, Bloomington, IN 47401-8589 2017-11-09
1033459904 Charles R Farmer Family Medicine 3480 S Oak Ridge Dr, Bloomington, IN 47401-8926 2013-02-28
1467798504 James Anthony Ray Family Medicine 2001 E Hillside Dr Lot 4, Bloomington, IN 47401-6692 2012-12-18
1902140585 Fountain Healthcare Limited Liability Company Family Medicine 2412 E Washington St Ste 6, Bloomington, IL 61704-4497 2012-11-20
1306147236 Community Health Network Family Medicine 524 N Fairview St, Bloomington, IN 47404-3774 2010-11-09
1942501978 Premier Medical Group, LLC Family Medicine 2102 E Washington St, Bloomington, IL 61701-4321 2010-11-08
1356660666 Glen Edward Tomlinson Family Medicine 42 Crista Ann Ct, Bloomington, IL 61704-8699 2010-05-26
1285862664 Charles W Mcclary Family Medicine 1411 S Sare Rd, Bloomington, IN 47401-4431 2009-06-24
1982840005 Thomas Patterson Cairns Family Medicine 10258 Berkshire Rd, Bloomington, MN 55437-2265 2008-12-18
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Competitor

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City BLOOMINGTON
Zip Code 47403

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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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