INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC (NPI# 1013953983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013953983 |
| Entity Type | Organization |
| Organization Name | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC |
| Practice Address |
1302 S Rogers St Bloomington IN 47403-4752 |
| Mailing Address |
Po Box 1329 Bloomington IN 47402-1329 |
| Practice Telephone | 8123533700 |
| Mailing Telephone | 8123536091 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | MR. MICHAEL CRAIG (CFO) |
| Authorized Official Telephone | 8123539554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100433840 | 05 | |
| RAILROAD MEDICARE ID | CI4187 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578082350 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2017-09-13 |
| 1033537030 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 9 N Crane Ave, Spencer, IN 47460-1507 | 2014-04-07 |
| 1740608926 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-04-03 |
| 1295153468 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 642 W Hospital Rd, Paoli, IN 47454-9672 | 2014-04-03 |
| 1427476696 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2014-04-03 |
| 1225456668 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 2900 16th St, Bedford, IN 47421-3510 | 2014-04-02 |
| 1366600231 | Indiana University Health Southern Indiana Physicians, Inc | Clinic/Center | 9 N Crane Ave, Spencer, IN 47460-1507 | 2008-05-28 |
| 1003074972 | Indiana University Health Southern Indiana Physicians, Inc | Clinic/Center | 7 E Main St, Gosport, IN 47433-7034 | 2008-05-28 |
| 1619199155 | Indiana University Health Southern Indiana Physicians, Inc | Durable Medical Equipment & Medical Supplies | 583 S Clarizz Blvd, Bloomington, IN 47401-5515 | 2007-05-03 |
| Street Address |
1302 S ROGERS ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658167 | Lori Ann Thompson | Family Medicine | 1302 S Rogers St, Bloomington, IN 47403 | 2005-06-09 |
| 1588216212 | Luke Throckmorton | Pharmacist | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2019-07-12 |
| 1720647902 | Carrie Lamoureux | Registered Nurse | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2019-06-11 |
| 1053715045 | Vicky Thompson | Nurse Practitioner | 1302 S Rogers St, Bloomington, IN 47403 | 2014-10-20 |
| 1265850432 | Orthopedics of South Central Indiana, LLC | Durable Medical Equipment & Medical Supplies | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2014-04-03 |
| 1619225992 | Cheri M. Towell | Nurse Practitioner | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2012-08-17 |
| 1437411188 | Emily Manlove | Family Medicine | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2012-06-08 |
| 1881978112 | Miala R Oliger | Nurse Practitioner | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2011-10-05 |
| 1043599723 | Susan Glenna Laughlin | Nurse Practitioner | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2011-08-11 |
| 1679881676 | Rachel M O'connor | Nurse Practitioner | 1302 S Rogers St, Bloomington, IN 47403-4752 | 2010-09-24 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639164700 | Comprehensive Spine Care | Clinic/Center | 2499 W Cota Dr, Bloomington, IN 47403-4217 | 2005-09-15 |
| 1215090501 | Bloomington Lake Clinic, Ltd | Clinic/Center | 7901 Xerxes Ave S Ste 116, Bloomington, MN 55431-1200 | 2006-12-18 |
| 1275619389 | Group Health Plan Inc. | Clinic/Center | 8100 34th Ave S, 21110q, Bloomington, MN 55425-1672 | 2006-10-31 |
| 1124103544 | Northwestern Health Sciences University | Clinic/Center | 2501 W 84th St, Bloomington, MN 55431-1602 | 2006-10-25 |
| 1629063797 | Pain Management Center of Southern Indiana, Inc. | Clinic/Center | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231037 | Crossover Health Medical Group | Clinic/Center | 434 Patrol Rd, Jeffersonville, IN 47130-7754 | 2020-09-24 |
| 1659984870 | Central Indiana Vascular Care, LLC. | Clinic/Center | 853 N Emerson Ave Ste F, Greenwood, IN 46143-5676 | 2020-08-27 |
| 1518528579 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 390 Erie Ave Ste A, Connersville, IN 47331-3177 | 2019-06-21 |
| 1932677291 | Pure Life Clinic LLC | Clinic/Center | 4725 Statesmen Dr Ste B, Indianapolis, IN 46250-5645 | 2018-11-05 |
| 1417479247 | Crown Radiology Associates | Clinic/Center | 5363 Commerce Blvd Ste A, Crown Point, IN 46307-5325 | 2017-07-13 |
| 1346634946 | Healthworks Med Group of Indiana P C | Clinic/Center | 6620 Network Way, Indianapolis, IN 46278-1686 | 2015-03-23 |
| 1477970440 | American Health Network of Indiana, LLC | Clinic/Center | 2625 N Morton St, Kyb Health and Wellness Clinic, Franklin, IN 46131-8820 | 2014-03-27 |
| 1952626715 | K & D Medical Services | Clinic/Center | 425 Joliet St Ste 125, Dyer, IN 46311-1775 | 2010-04-05 |
| 1407179559 | Forensic Nursing Specialties, Inc | Clinic/Center | 2270 Lake Ave, Suite 201, Fort Wayne, IN 46805-5359 | 2010-03-03 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
Please comment or provide details below to improve the information on INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, INC.
| 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.