MEDSTAT LLC NPI 1942388368

NPI Information

NPI: 1942388368
Provider Name: MEDSTAT LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1500 PROVIDENT DR
SUITE A
WARSAW, IN
ZIP 46580
Phone: (574) 372-7637
Get Directions

MEDSTAT LLC is a family medicine in Warsaw, 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. MEDSTAT LLC NPI is 1942388368. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 PROVIDENT DR
SUITE A
WARSAW, IN
ZIP 46580-291
Phone: (574) 372-7637
Fax: (574) 372-7655

The provider's authorized official is Kristina Music .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (877) 892-9815.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 11/6/2023.

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	207X00000X	Orthopaedic Surgery		No
2	208000000X	Pediatrics		No
3	208100000X	Physical Medicine & Rehabilitation		No
4	207P00000X	Emergency Medicine		No
5	207R00000X	Internal Medicine		No
6	207RH0003X	Internal Medicine	Hematology & Oncology	No
7	2083X0100X	Preventive Medicine	Occupational Medicine	No
8	208600000X	Surgery		No
9	208C00000X	Colon & Rectal Surgery		No
10	363A00000X	Physician Assistant		No
11	363L00000X	Nurse Practitioner		No
12	363LF0000X	Nurse Practitioner	Family	No
13	207Q00000X	Family Medicine		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	200074860	MEDICAID	INDIANA

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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