ASSOCIATED PHYSICIANS & SURGEONS CLINIC LLC NPI 1699857649

NPI Information

NPI: 1699857649
Provider Name: ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
890 RIDGELAWN RD
MARTINSVILLE, IL
ZIP 62442
Phone: (812) 232-0564
Get Directions

ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC is a cardiovascular disease internal medicine in Martinsville, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC NPI is 1699857649. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

890 RIDGELAWN RD
MARTINSVILLE, IL
ZIP 62442-399
Phone: (812) 232-0564
Fax: (812) 242-3848

The provider's authorized official is Michael P Fouty .
The authorized official title is Cfo/authorized Representative and has the following contact phone number (812) 232-0564.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 11/6/2007.

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	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	No
2	207RH0003X	Internal Medicine	Hematology & Oncology	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	No
4	207RS0012X	Internal Medicine	Sleep Medicine	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	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	CE0949	MEDICARE PIN	ILLINOIS
2	387250	MEDICARE PIN	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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