Athens Medical Group, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ATHENS MEDICAL GROUP, INC

Practice address

1702 Lafayette Rd
Crawfordsville, IN 47933-1033

Phone

(765) 362-4400

Fax

(765) 364-1797

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brett L Spencer, MD

Title

Ceo

Phone

(765) 359-1660

Specialties & licenses 1

Addresses

Other names 1

• Athens Orthopedic and SPorts Medicine Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel R Johnson, D.O.

  • Orthopaedic Surgery Physician
  • Fairbanks, AK
  • NPI 1053341594

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1023297249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331033",
            "telephone_number": "765-362-4400",
            "fax_number": "765-364-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331033",
            "telephone_number": "765-362-4400",
            "fax_number": "765-364-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-359-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Orthopedic and SPorts Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel S Andre, D.D.S.
• Apex Podiatry, Inc.
• Samantha Asperger, RBT
• Assisted Living Concepts Inc
• Athens Medical Group LLC
• Athens Medical Group, Inc
• Athens Medical Group, LLC
• Atlantic Herring Inpatient Services LLC
• Matthew Joseph Bachman, DDS
• Becka I Bannon, PA

• All providers in Crawfordsville, IN
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.