PHYSICIANS MEDICAL CENTER LLC (NPI# 1801314455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801314455 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS MEDICAL CENTER LLC |
| Practice Address |
311 E Clifty Drive Madison IN 47250 |
| Mailing Address |
4023 Reas Lane Attn: Credentialing New Albany IN 47150-2228 |
| Practice Telephone | 8122742742 |
| Practice Fax Number | 8122742899 |
| Mailing Telephone | 8125906936 |
| Mailing Fax Number | 8129134338 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | REBECCA HENRY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8125906936 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518477884 | Physicians Medical Center LLC | Clinic/Center | 4149 Shelbyville Rd, Louisville, KY 40207-3203 | 2017-10-02 |
| 1689857385 | Physicians Medical Center LLC | General Acute Care Hospital | 4023 Reas Ln, New Albany, IN 47150-2228 | 2007-12-17 |
| 1770084261 | Physicians Medical Center LLC | Family Medicine | 2108 State St, New Albany, IN 47150-4923 | 2018-02-21 |
| 1366960908 | Physicians Medical Center LLC | Clinic/Center | 1006 New Moody Ln, La Grange, KY 40031 | 2017-09-05 |
| 1942656228 | Physicians Medical Center LLC | Clinic/Center | 131 Corporate Dr, Houma, LA 70360-2767 | 2016-05-05 |
| 1821425711 | Physicians Medical Center LLC | Family Medicine | 3605 Northgate Ct, Suite 204, New Albany, IN 47150-6400 | 2013-10-09 |
| Street Address |
311 E CLIFTY DRIVE |
| City | MADISON |
| State | IN |
| Zip Code | 47250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| 1154482974 | Marilyn F Mcqueen | Social Worker | 606 E Main Street, Professional Building, Madison, IN 47250 | 2006-12-13 |
| Find all providers in zip 47250 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946628 | Amie Jabang | General Practice | 534 Aztalan Dr, Madison, WI 53718-3205 | 2019-01-24 |
| 1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
| 1780941740 | Nemil Ashvin Shah | General Practice | 101 Ivory Pl, Madison, AL 35758-2349 | 2012-04-16 |
| 1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
| 1942517164 | Anne Elizabeth Bauer | General Practice | 102 Big Oak Cir, Madison, AL 35758-8324 | 2010-09-09 |
| 1710207923 | Fredrick Howard Bronson | General Practice | 13 Cherokee Cir, 102, Madison, WI 53704-8480 | 2010-06-10 |
| 1043351182 | Richard Lee Owens | General Practice | 1920 Monroe St, Madison, WI 53711-2027 | 2007-02-10 |
| 1184630592 | American Family Care Inc | General Practice | 7559 Hwy 72 W, Madison, AL 35758 | 2006-07-31 |
| 1174543516 | Karen B Duffy | General Practice | 1210 Briarville Road, Blding B, Madison, TN 37115 | 2006-07-20 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| Find all providers in MADISON | ||||
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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.