IMA EAST PRIMARY CARE NPI 1184855272

NPI Information

  • NPI: 1184855272
  • Provider Name: IMA EAST PRIMARY CARE
  • Classification: Family Medicine - 207QS0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • Address: 2605 E CREEKS EDGE DR
    BLOOMINGTON, IN
    ZIP 47401
  • Phone: (812) 355-2300

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NPI Details

IMA EAST PRIMARY CARE is a sports medicine family medicine in Bloomington, IN. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. IMA EAST PRIMARY CARE NPI is 1184855272. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2605 E CREEKS EDGE DR
BLOOMINGTON, IN
ZIP 47401-368
Phone: (812) 355-2300
Fax: (812) 355-3251

The provider's authorized official is Wesley W Ratlif .
The authorized official title is President and has the following contact phone number (812) 331-3400.

The enumeration date for this NPI number is 8/6/2009 and was last updated on 1/14/2010.

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
1207QS0010XFamily MedicineSports Medicine01066805AINDIANAYes

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
16020150002MEDICARE NSCINDIANA

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: 11/21/2025

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