PHYSICIANS MEDICAL CENTER LLC (NPI# 1770084261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770084261 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS MEDICAL CENTER LLC |
| Other Organization Name | PMC URGENT CARE & OCCUPATIONAL MEDICINE |
| Practice Address |
2108 State St New Albany IN 47150-4923 |
| Mailing Address |
3626 Grant Line Rd Ste 205 New Albany IN 47150-2584 |
| Practice Telephone | 8126704305 |
| Practice Fax Number | 8127251210 |
| Mailing Telephone | 8125906936 |
| Mailing Fax Number | 8129134338 |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |
| Authorized Official Name | REBECCA HENRY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8125906936 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PMC Urgent Care & Occupational Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518477884 | Physicians Medical Center LLC | Clinic/Center | 4149 Shelbyville Rd, Louisville, KY 40207-3203 | 2017-10-02 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1689857385 | Physicians Medical Center LLC | General Acute Care Hospital | 4023 Reas Ln, New Albany, IN 47150-2228 | 2007-12-17 |
| 1366960908 | Physicians Medical Center LLC | Clinic/Center | 1006 New Moody Ln, La Grange, KY 40031 | 2017-09-05 |
| 1942656228 | Physicians Medical Center LLC | Clinic/Center | 131 Corporate Dr, Houma, LA 70360-2767 | 2016-05-05 |
| 1821425711 | Physicians Medical Center LLC | Family Medicine | 3605 Northgate Ct, Suite 204, New Albany, IN 47150-6400 | 2013-10-09 |
| Street Address |
2108 STATE ST |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991763 | Dean J Wickel | Surgery | 2108 State St, New Albany, IN 47150-4923 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1689696759 | Richard Harold Russell | General Practice | 1013 County Road 362 S, New Albany, MS 38652-8855 | 2006-07-24 |
| 1437159886 | Amy Hallal Henderson | General Practice | 2 Silvercrest Dr, Suite 100, New Albany, IN 47150-7800 | 2005-07-28 |
| 1528459278 | Amy Hallal Henderson Md LLC | General Practice | 2 Silvercrest Dr, Suite 100, New Albany, IN 47150-7800 | 2015-02-16 |
| 1558783845 | Optimized Care Network, LLC | General Practice | 15 S. High St., New Albany, OH 43054-9582 | 2014-01-06 |
| 1962743260 | Optimized Care Network, Inc. | General Practice | 15 S. High St., New Albany, OH 43054-9582 | 2013-03-12 |
| 1235219544 | Jeffery D Flatt | General Practice | 1919 State St, Ste 208, New Albany, IN 47150 | 2006-10-17 |
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|---|---|---|---|---|
| 1083235188 | Bonzer Medical, LLC | General Practice | 4423 S County Road 125 E, Greencastle, IN 46135-9237 | 2020-04-29 |
| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
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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.