ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC (NPI# 1568552271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568552271 |
Entity Type | Organization |
Organization Name | ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC |
Practice Address |
2229 Mary Sherman Dr Sullivan IN 47882-7633 |
Mailing Address |
221 S 6th St Terre Haute IN 47807-4214 |
Practice Telephone | 8122320564 |
Practice Fax Number | 8122423848 |
Mailing Telephone | 8122320564 |
Mailing Fax Number | 8122423848 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MICHAEL P FOUTY (CFO/AUTHORIZED REPRESENTATIVE) |
Authorized Official Telephone | 8122320564 |
Is Organization Subpart | Y |
Parent Organization Name | ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
US DEPT OF LABOR | 0176835 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386845832 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 601 E Surgery Center Dr, Terre Haute, IN 47802-6815 | 2007-05-31 |
1477639623 | Associated Physicians & Surgeons Clinic, LLC | Audiologist | 788 S 3rd St, Terre Haute, IN 47807-4653 | 2006-10-31 |
1477643120 | Associated Physicians & Surgeons Clinic, LLC | Urology | Rr 1 Box 994, Linton, IN 47441-9496 | 2006-10-13 |
1831275080 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 1530 N 7th St, Ste 200, Terre Haute, IN 47807-1057 | 2006-10-31 |
1568548717 | Associated Physicians & Surgeons Clinic, LLC | Audiologist | 400 Poplar St, Terre Haute, IN 47807-4209 | 2006-10-31 |
1093891251 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 1739 N 4th St, Terre Haute, IN 47804-4002 | 2006-10-31 |
1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
1295810893 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 721 E Court St, Paris, IL 61944-2460 | 2006-10-25 |
1881778496 | Associated Physicians & Surgeons Clinic, LLC | Optometrist | 422 Poplar St, Terre Haute, IN 47807-4209 | 2006-10-24 |
1962586198 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 1739 N 4th St, Terre Haute, IN 47804-4002 | 2006-10-24 |
Street Address |
2229 MARY SHERMAN DR |
City | SULLIVAN |
State | IN |
Zip Code | 47882-7633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952304123 | Carl F. Conwell | Family Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2005-05-23 |
1447805965 | Sullivan County Community Hospital | Family Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2019-08-02 |
1073042131 | Jeanna Rennee Lisman | Nurse Practitioner | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2017-06-12 |
1700256948 | Mso Clinics, Inc. | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2015-09-30 |
1811317977 | Mso Clinics, Inc. | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2014-04-16 |
1467884643 | Sullivan County Community Hospital | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2013-07-30 |
1316270747 | Union Associated Physicians Clinic, LLC | Otolaryngology | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2009-09-17 |
1053576405 | Terri Lee Brown | Nurse Practitioner | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2008-07-25 |
1427275353 | Jessy G. Woods | Internal Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2007-04-20 |
1174675789 | Kidney and Hypertension Center of In | Internal Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2007-01-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
Find all providers in zip 47882 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134728553 | Infusion Center of Indiana LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 | 2020-10-19 |
1659987832 | Vida Oncology LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 | 2020-09-22 |
1306256839 | Anne Catherine Meier | Internal Medicine | 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 | 2014-05-06 |
1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
1851697536 | Melhem Jabbour | Internal Medicine | 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 | 2011-01-28 |
1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
1710112396 | Cancer Health Treatment Centers,p.c. | Internal Medicine | 104 Woodland Ct, Michigan City, IN 46360-7390 | 2009-05-26 |
1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
1386805307 | Vivian C Cook | Internal Medicine | 3699 Epworth Road, Newburgh, IN 47630-8909 | 2008-06-23 |
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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.