TERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC (NPI# 1912011537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912011537 |
| Entity Type | Organization |
| Organization Name | TERRE HAUTE PULMONARY & PEDIATRIC CLINIC, LLC |
| Other Organization Name | SHELBURN MEDICAL CLINIC |
| Practice Address |
557 W Broadway St Shelburn IN 47879-1232 |
| Mailing Address |
4525 S Springhill Jct Terre Haute IN 47802-4563 |
| Practice Telephone | 8123972440 |
| Practice Fax Number | 8123970164 |
| Mailing Telephone | 8122346053 |
| Mailing Fax Number | 8122341722 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2016-09-29 |
| NPI Deactivation Date | 06/19/2007 |
| NPI Reactivation Date | 2008-04-30 |
| Authorized Official Name | TRUPTI A BHUPTANI (CO OWNER MD) |
| Authorized Official Telephone | 8122346053 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01055950A | IN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 01038772A | IN | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71000843A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | 01038772A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200391150E | 05 |
| Other Name | Type Code |
|---|---|
| Shelburn Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811299415 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 309 Thomas St, Williamsport, IN 47993-1129 | 2010-12-02 |
| 1417065756 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 4551 S Springhill Jct, Terre Haute, IN 47802-4563 | 2006-08-28 |
| 1215045901 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 1005 S 3rd St, Dugger, IN 47848-5011 | 2006-08-25 |
| 1326152984 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 4525 S Springhill Jct, Terre Haute, IN 47802-4563 | 2006-08-19 |
| 1609028885 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 4525 S Springhill Jct, Terre Haute, IN 47802-4563 | 2008-10-21 |
| 1316099344 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Nurse Practitioner | 1314 E Walnut St, Washington, IN 47501-2860 | 2007-01-18 |
| 1952462301 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 1542 S Bloomington St, Greencastle, IN 46135-2212 | 2006-12-12 |
| 1255492625 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 1210 N 1000 W, Linton, IN 47441-5013 | 2006-12-12 |
| 1487715850 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-12-12 |
| 1427119809 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2006-12-12 |
| Street Address |
557 W BROADWAY ST |
| City | SHELBURN |
| State | IN |
| Zip Code | 47879-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871058529 | Sullivan County Internal Medicine LLC | Internal Medicine | 557 W Broadway St, Shelburn, IN 47879-1232 | 2019-02-07 |
| 1851507693 | Internal Medicine Nephrology, Inc. | Internal Medicine | 557 W Broadway St, Shelburn, IN 47879-1232 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361143 | Kathy J Hugar | Nurse Practitioner | 557 West Broadway, Shelburn, IN 47879 | 2006-01-20 |
| 1326028309 | Divyesh Purohit | Internal Medicine | 557 W Broadway, Shelburn, IN 47879 | 2006-01-18 |
| 1972123750 | Shelby Dawn Higginbottom | Counselor | 124 W Jefferson St, Shelburn, IN 47879-1112 | 2020-04-21 |
| 1003369091 | Shanna Lynn White | Nurse Practitioner | 210 W Broadway St, Shelburn, IN 47879-1202 | 2016-07-26 |
| 1932264025 | Emily Whitman | Speech-Language Pathologist | 5462 N County Road 200 W, Shelburn, IN 47879-8276 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003369091 | Shanna Lynn White | Nurse Practitioner | 210 W Broadway St, Shelburn, IN 47879-1202 | 2016-07-26 |
| 1932264025 | Emily Whitman | Speech-Language Pathologist | 5462 N County Road 200 W, Shelburn, IN 47879-8276 | 2006-12-27 |
| 1750361143 | Kathy J Hugar | Nurse Practitioner | 557 West Broadway, Shelburn, IN 47879 | 2006-01-20 |
| 1326028309 | Divyesh Purohit | Internal Medicine | 557 W Broadway, Shelburn, IN 47879 | 2006-01-18 |
| 1972123750 | Shelby Dawn Higginbottom | Counselor | 124 W Jefferson St, Shelburn, IN 47879-1112 | 2020-04-21 |
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028309 | Divyesh Purohit | Internal Medicine | 557 W Broadway, Shelburn, IN 47879 | 2006-01-18 |
| 1871058529 | Sullivan County Internal Medicine LLC | Internal Medicine | 557 W Broadway St, Shelburn, IN 47879-1232 | 2019-02-07 |
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|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1194354530 | Mycare Express Clinic | Internal Medicine | 3608 W 80th Ln, Merrillville, IN 46410-5061 | 2020-04-07 |
| 1508493669 | Md Healthcare Direct | Internal Medicine | 5330 Harrison Street, Merrillville, IN 46410-1465 | 2020-03-26 |
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1235799909 | Emd Healthcare, LLC | Internal Medicine | 6582 W Deerfield Dr, Zionsville, IN 46077-7500 | 2019-06-16 |
| 1487217121 | Perry County Memorial Hospital | Internal Medicine | 559 Main St Ste 1, Rockport, IN 47635-1451 | 2019-04-18 |
| 1245797208 | Shaze Medical Group LLC | Internal Medicine | 1035 Wall Street Ste 104-c1, Jeffersonville, IN 47130-3602 | 2019-02-26 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
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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.