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PHYSICIAN'S PRIMARY CARE PLLC NPI 1962550020


NPI Information

NPI: 1962550020
Provider Name: PHYSICIAN'S PRIMARY CARE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1804 E 10TH ST
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 288-2488
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PHYSICIAN'S PRIMARY CARE PLLC is a family medicine in Jeffersonville, 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. PHYSICIAN'S PRIMARY CARE PLLC NPI is 1962550020. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1804 E 10TH ST
JEFFERSONVILLE, IN
ZIP 47130-016
Phone: (812) 288-2488
Fax: (812) 288-6603

The provider's authorized official is Jeffrey A Campbell .
The authorized official title is President and has the following contact phone number (812) 288-2488.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 10/6/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily71001741AINDIANANo
2207Q00000XFamily Medicine23424KENTUCKYNo
3363LF0000XNurse PractitionerFamily3003535KENTUCKYNo
4207Q00000XFamily Medicine01036153AINDIANAYes

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
150015623OTHERKENTUCKYPASSPORT
2129660MEDICARE PININDIANA
3200043610AMEDICAIDINDIANA
47100141580MEDICAIDKENTUCKY
5CA5909MEDICARE PININDIANA
69786MEDICARE PINKENTUCKY

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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