PHYSICIAN PRACTICE ORGANIZATION NPI 1407861164

NPI Information

NPI: 1407861164
Provider Name: PHYSICIAN PRACTICE ORGANIZATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Doing Business As: SANDCREST FAMILY MEDICINE
Address: 3203 MIDDLE DR
COLUMBUS, IN
ZIP 47203
Phone: (812) 373-2701

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NPI Details

PHYSICIAN PRACTICE ORGANIZATION is a family medicine in Columbus, 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. PHYSICIAN PRACTICE ORGANIZATION NPI is 1407861164. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sandcrest Family Medicine.

The provider's business location address is:

3203 MIDDLE DR
COLUMBUS, IN
ZIP 47203-427
Phone: (812) 373-2701
Fax: (812) 373-2710

The provider's authorized official is David J Porter .
The authorized official title is Medical Director and has the following contact phone number (812) 373-2701.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 1/27/2014.

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
1	207Q00000X	Family Medicine		207Q00000X	INDIANA	Yes

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
1	100051320A	MEDICAID	INDIANA
2	143480	MEDICARE PIN	INDIANA
3	=========001	OTHER	INDIANA	BLUE CROSS/BLUE SHIELD

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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