FMMG LLC NPI 1184912370

NPI Information

NPI: 1184912370
Provider Name: FMMG LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1850 STATE ST
NEW ALBANY, IN
ZIP 47150
Phone: (812) 542-4906
Get Directions

FMMG LLC is a family medicine in New Albany, 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. FMMG LLC NPI is 1184912370. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1850 STATE ST
NEW ALBANY, IN
ZIP 47150-990
Phone: (812) 542-4906
Fax: (812) 949-5966

The provider's authorized official is Daniel J Eichenberger .
The authorized official title is President / Ceo and has the following contact phone number (812) 542-4921.

The enumeration date for this NPI number is 7/21/2011 and was last updated on 7/8/2019.

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	207LP2900X	Anesthesiology	Pain Medicine	No
2	207R00000X	Internal Medicine		No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
4	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	208600000X	Surgery		No
7	208M00000X	Hospitalist		No
8	363L00000X	Nurse Practitioner		No
9	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	201207730	MEDICAID	INDIANA
2	7100200500	MEDICAID	KENTUCKY
3	8891986	OTHER	INDIANA	PHCS/MULTIPLAN
4	3361514	OTHER	INDIANA	UNITED
5	127750	OTHER	INDIANA	SIHO
6	9213755	OTHER	INDIANA	AETNA
7	DS6609	OTHER	INDIANA	RR MEDICARE
8	000000729479	OTHER	INDIANA	ANTHEM
9	201039920A	MEDICAID	INDIANA
10	9213755	OTHER	KENTUCKY	AETNA

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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