SOUTHEAST INDIANA OBSTETRICS AND GYNECOLOGY,LLC (NPI# 1194824748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194824748 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST INDIANA OBSTETRICS AND GYNECOLOGY,LLC |
| Practice Address |
2451 Intelliplex Drive Suite 200 Shelbyville IN 46176 |
| Practice Telephone | 3173980193 |
| Practice Fax Number | 3174212016 |
| Mailing Telephone | 3173980193 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | MR. JACK HORNER (CEO) |
| Authorized Official Telephone | 3173923211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ========= | IN | Allopathic & Osteopathic Physicians |
| Street Address |
2451 INTELLIPLEX DRIVE SUITE 200 |
| City | SHELBYVILLE |
| State | IN |
| Zip Code | 46176 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568604692 | Jennifer Heer Ford | Obstetrics & Gynecology | 140 Stonecrest Rd Ste 201, Shelbyville, KY 40065-8144 | 2009-04-06 |
| 1093749301 | Shelby Lynn Cunningham | Obstetrics & Gynecology | 112 Airport Business Park Dr, Suite A, Shelbyville, TN 37160-7452 | 2006-07-10 |
| 1366823502 | Alicia M Schaffer | Obstetrics & Gynecology | 2451 Intelliplex Dr Ste 260, Shelbyville, IN 46176-8581 | 2015-06-13 |
| 1588855902 | Shelbyville Clinic Corp | Obstetrics & Gynecology | 841 Union St, Suite K, Shelbyville, TN 37162-2611 | 2007-08-09 |
| 1194892125 | Shelbyville Clinic Corp | Obstetrics & Gynecology | 841 Union St, Suite 202, Shelbyville, TN 37160-2610 | 2006-11-28 |
| 1427076173 | Denise J Bruneau | Obstetrics & Gynecology | 140 Stonecrest Rd, Shelbyville, KY 40065-8142 | 2006-07-18 |
| 1376570390 | Lloyd Lewis | Obstetrics & Gynecology | 2451 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8535 | 2006-06-26 |
| 1457387565 | Jeffrey Stiller | Obstetrics & Gynecology | 2451 Intelliplex Dr, Shelbyville, IN 46176-8535 | 2006-06-23 |
| 1396709671 | Jacqueline Khristen Basham | Obstetrics & Gynecology | 140 Stonecrest Rd, Shelbyville, KY 40065-8142 | 2006-04-14 |
| 1346204526 | Anita Rose Kotheimer | Obstetrics & Gynecology | 140 Stonecrest Rd, Shelbyville, KY 40065-8142 | 2006-04-14 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 46176 |
Please comment or provide details below to improve the information on SOUTHEAST INDIANA OBSTETRICS AND GYNECOLOGY,LLC.
| 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.