WEST SIDE FAMILY MEDICINE LLC NPI 1033194303

NPI Information

  • NPI: 1033194303
  • Provider Name: WEST SIDE FAMILY MEDICINE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1909 W FRANKLIN ST
    EVANSVILLE, IN
    ZIP 47712
  • Phone: (812) 456-9736

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NPI Details

WEST SIDE FAMILY MEDICINE LLC is a family medicine in Evansville, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WEST SIDE FAMILY MEDICINE LLC NPI is 1033194303. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1909 W FRANKLIN ST
EVANSVILLE, IN
ZIP 47712-110
Phone: (812) 456-9736
Fax: (812) 456-0140

The provider's authorized official is Jeffrey Donald Hunter .
The authorized official title is Owner and has the following contact phone number (812) 456-9736.

The enumeration date for this NPI number is 12/9/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200318070AMEDICAIDINDIANA
215D0984163OTHERINDIANACLIA NUMBER
3163398OTHERINDIANACHILDRENS SPECIAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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