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PHYSICIANS MEDICAL CENTER LLC NPI 1821425711


NPI Information

NPI: 1821425711
Provider Name: PHYSICIANS MEDICAL CENTER LLC

Doing Business As: PMC SURGICAL ASSOCIATES

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
3605 NORTHGATE CT
SUITE 204
NEW ALBANY, IN
ZIP 47150
Phone: (812) 207-2130
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PHYSICIANS MEDICAL CENTER LLC is a surgery in New Albany, IN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. PHYSICIANS MEDICAL CENTER LLC NPI is 1821425711. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pmc Surgical Associates.

The provider's business location address is:

3605 NORTHGATE CT
SUITE 204
NEW ALBANY, IN
ZIP 47150-400
Phone: (812) 207-2130
Fax: (812) 207-2140

The provider's authorized official is Dennis Michael Medley .
The authorized official title is Ceo/administrator and has the following contact phone number (812) 206-7624.

The enumeration date for this NPI number is 10/9/2013 and was last updated on 2/21/2018.


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 MedicineNo
2208600000XSurgeryYes
3208D00000XGeneral PracticeNo
4261QU0200XClinic/CenterUrgent CareNo
5363A00000XPhysician AssistantNo
6363AM0700XPhysician AssistantMedicalNo
7363L00000XNurse PractitionerNo
8363LF0000XNurse PractitionerFamilyNo

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
1200916560MEDICAIDINDIANA
27100073940MEDICAIDKENTUCKY

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

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