Provider Type Icon

FAMILY MEDICAL ASSOCIATES P C NPI 1548357775


NPI Information

NPI: 1548357775
Provider Name: FAMILY MEDICAL ASSOCIATES P C
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 15D1015989

Address:
1428 N GARDNER ST
SCOTTSBURG, IN
ZIP 47170
Phone: (812) 752-4001
Get Directions

FAMILY MEDICAL ASSOCIATES P C is a family medicine in Scottsburg, 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. FAMILY MEDICAL ASSOCIATES P C NPI is 1548357775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1428 N GARDNER ST
SCOTTSBURG, IN
ZIP 47170-720
Phone: (812) 752-4001
Fax: (812) 752-4654

The provider's authorized official is Dhamy Sivamohan .
The authorized official title is President and has the following contact phone number (812) 595-0280.

The CLIA number assigned to this NPI record is 15D1015989 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 10/15/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine01055482AINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERTAX ID
2200447040AMEDICAIDINDIANA
3H63120MEDICARE UPININDIANA
4208640MEDICARE PININDIANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.