FOUNDATIONS FAMILY MEDICINE PC (NPI# 1720097322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720097322 |
| Entity Type | Organization |
| Organization Name | FOUNDATIONS FAMILY MEDICINE PC |
| Practice Address |
25 W Main St Austin IN 47102-1303 |
| Practice Telephone | 8127948100 |
| Practice Fax Number | 8127948200 |
| Mailing Telephone | 8127948100 |
| Mailing Fax Number | 8127948200 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-07-01 |
| Authorized Official Name | DR. WILLIAM E COOKE (DIRECTOR/OFFICER) |
| Authorized Official Telephone | 8127948100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
01056407A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200490500A | 05 | |
| IN | RR MEDICARE | DC0744 | 01 |
| Street Address |
25 W MAIN ST |
| City | AUSTIN |
| State | IN |
| Zip Code | 47102-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189492 | Jennifer Winans | Nurse Practitioner | 25 W Main St, Austin, IN 47102-1303 | 2020-09-17 |
| 1053968297 | Hannah Mae Nance | Nurse Practitioner | 25 W Main St, Austin, IN 47102-1303 | 2019-08-22 |
| 1497316657 | Katelyn Dakota Jae Mcintosh | Registered Nurse | 25 W Main St, Austin, IN 47102-1303 | 2019-06-27 |
| 1770952897 | Tara Pearcy | Nurse Practitioner | 25 W Main St, Austin, IN 47102-1303 | 2015-09-18 |
| 1437347929 | Donald Mark Bostic | Physician Assistant | 25 W Main St, Austin, IN 47102-1303 | 2007-10-09 |
| 1699749770 | William E Cooke Jr. | Emergency Medicine | 25 W Main St, Austin, IN 47102 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194859942 | Scott County Chiropractic Center, P.s.c. | Chiropractor | 2897 North Highway 31, Austin, IN 47102 | 2007-03-15 |
| 1265403828 | Williams Bros. Health Care Pharmacy, Inc. | Pharmacy | 10 W. Main Street, Austin, IN 47102 | 2006-01-31 |
| 1942613963 | James Gene Wilcox | Emergency Medicine | 45 W Main St, Austin, IN 47102 | 2014-06-06 |
| 1104236363 | Scott County School Corporation District No.1 | Local Education Agency (LEA) | 255 Hwy 31 South, Austin, IN 47102-0009 | 2014-04-28 |
| 1760564140 | Kerry S. Goodin, D.d.s., P.C. | Dentist | 60 W Main St, Po Bxo 70, Austin, IN 47102-0070 | 2006-10-19 |
| 1497007751 | Midas Touch Business Holdings, Inc | Chiropractor | 67 W Main St, Austin, IN 47102-1303 | 2012-10-11 |
| 1245428143 | Brett E Usher | Chiropractor | 67 W Main St, Austin, IN 47102-1303 | 2007-10-05 |
| 1205883394 | Stewart's Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 57 W Main St, Austin, IN 47102-1303 | 2006-05-27 |
| 1467895896 | Jason Ashcraft | Pharmacist | 10 W Main St, Austin, IN 47102-1304 | 2013-04-16 |
| 1871506956 | Jeffrey Lynn Wells | Pharmacist | 10 W Main St, Austin, IN 47102-1304 | 2006-08-13 |
| Find all providers in zip 47102 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1184250060 | Premise Health of Minnesota Medical P C | Clinic/Center | 1906 8th St Nw, Austin, MN 55912-2473 | 2020-03-23 |
| 1114560133 | Medici Medical Group Pa | Clinic/Center | 7500 Rialto Blvd Ste 260, Austin, TX 78735-8531 | 2019-10-22 |
| 1821504291 | Adc Physicians Pa | Clinic/Center | 12221 N Mopac Expy Fl 4, Austin, TX 78758-2401 | 2017-12-21 |
| 1811440159 | Chs Texas Medical Pa | Clinic/Center | 701 E Parmer Ln, Austin, TX 78753-3520 | 2016-08-03 |
| 1811512239 | Lifespring, Inc | Clinic/Center | 2277 W Frontage Rd, Austin, IN 47102-8820 | 2020-06-11 |
| 1427690957 | Avidcare Management Group LLC | Clinic/Center | 7801 N Lamar Blvd Ste B174, Austin, TX 78752-1032 | 2019-10-16 |
| 1619328283 | Neurotech Austin | Clinic/Center | 2712 Bee Caves Rd, Suite 102, Austin, TX 78746-5676 | 2016-06-24 |
| 1902183577 | The Timothy Center, Inc. | Clinic/Center | 11754 Jollyville Rd Ste 110, Austin, TX 78759-3948 | 2011-11-10 |
| 1114968294 | Utmb Faculty Group Practice | Clinic/Center | 313 E 12th St, Austin, TX 78701-1954 | 2006-06-09 |
| Find all providers in AUSTIN | ||||
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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.