Organization Active NPI

Community Hospitals of Indiana

Doing business as Gerald Irwin MD

  • Family Medicine Physician
  • Alexandria, IN
National Provider Identifier
1013933761
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY HOSPITALS OF INDIANA
Doing business as
Gerald Irwin MD
Practice address
2116 S Park Ave
Alexandria, IN 46001-8048
Phone
(765) 724-7711
Fax
(765) 724-9731
NPI assigned
Jul 14, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Jeffery Kirkham
Title
Cfo
Phone
(317) 355-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2116 S Park Ave
Alexandria, IN 46001-8048

Mailing address

2116 S Park Ave
Alexandria, IN 46001-8048
Phone (765) 724-7711

Other identifiers 2

IdentifierTypeStateIssuer
200326750NMedicaidIN
DB5227OtherINRR MEDICARE

Other names 1

  • Gerald Irwin MD Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1013933761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 S PARK AVE",
            "city": "ALEXANDRIA",
            "state": "IN",
            "postal_code": "460018048",
            "telephone_number": "765-724-7711",
            "fax_number": "765-724-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 S PARK AVE",
            "city": "ALEXANDRIA",
            "state": "IN",
            "postal_code": "460018048",
            "telephone_number": "765-724-7711",
            "fax_number": "765-724-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-5822"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326750N",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB5227",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerald Irwin MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.