North Clark Physicians Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH CLARK PHYSICIANS GROUP LLC

Practice address

2100 Market St Ste 200
Charlestown, IN 47111-8507

Phone

(812) 503-5100

Fax

(770) 573-9513

NPI assigned

Jul 13, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Smith, CREDENTIALING

Title

Manager

Phone

(502) 244-9859

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1003434416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S CLARK BLVD STE 2100",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471293212",
            "telephone_number": "502-244-9859",
            "fax_number": "770-573-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST STE 200",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471118507",
            "telephone_number": "812-503-5100",
            "fax_number": "770-573-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CLARK PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-244-9859",
        "authorized_official_credential": "CREDENTIALING"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burl Morris
• Sandra Morrison
• Destini Napier, LMHC
• North Clark Anesthesia Group LLC
• North Clark Behavioral Health LLC
• North Clark Surgery Center LLC
• William Northern Jr.
• NPF Foot and Ankle
• Justin Ownby
• Amanda Leigh Patsfield, PHARMD

• Family Medicine Physician in Charlestown, IN
• Providers in Charlestown, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.