Organization Active NPI

Clarksville Emergency Group, PC

  • Emergency Medicine Physician
  • Corydon, IN
National Provider Identifier
1023487154
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CLARKSVILLE EMERGENCY GROUP, PC
Practice address
1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone
(800) 893-9698
NPI assigned
Sep 18, 2015
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Christopher P Lipsmeyer, MD
Title
President
Phone
(337) 609-1221

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X IN Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X IN
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X IN

Addresses

Primary practice location

1141 Hospital Dr NW
Corydon, IN 47112-2164

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Other practice location 1

1010 W State Road 2
LA Porte, IN 46350-5465
Phone (219) 575-6700

Other practice location 2

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 738-2100

Other practice location 3

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4000

Other practice location 4

3500 Franciscan Way
Michigan City, IN 46360-0021
Phone (219) 879-8511

Other practice location 5

701 Superior Ave
Munster, IN 46321-4037
Phone (219) 922-4200

Other practice location 6

770 Indian Boundary Rd
Chesterton, IN 46304-1519
Phone (219) 921-2000

Other practice location 7

1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 362-2800

Other practice location 8

1104 E Grace St
Rensselaer, IN 47978-3211
Phone (219) 866-5141

Other practice location 9

24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201125002335 IN Part B Supplier - Clinic/Group Practice 6507277423 Receives reassigned benefits from 251 practitioners
Practice locations: Corydon, IN; Rensselaer, IN; Munster, IN; Michigan City, IN; Lafayette, IN; La Porte, IN; Dyer, IN; Crown Point, IN…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 257

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 257

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1023487154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 HOSPITAL DR NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122164",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 W State Road 2",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "IN",
            "postal_code": "463505465",
            "country_code": "US",
            "telephone_number": "219-575-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 S Main St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463078481",
            "country_code": "US",
            "telephone_number": "219-738-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Franciscan Way",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463600021",
            "country_code": "US",
            "telephone_number": "219-879-8511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Superior Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214037",
            "country_code": "US",
            "telephone_number": "219-922-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Indian Boundary Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterton",
            "state": "IN",
            "postal_code": "463041519",
            "country_code": "US",
            "telephone_number": "219-921-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 Lafayette Rd",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479331033",
            "country_code": "US",
            "telephone_number": "765-362-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 E Grace St",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "IN",
            "postal_code": "479783211",
            "country_code": "US",
            "telephone_number": "219-866-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Joliet St",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463111705",
            "country_code": "US",
            "telephone_number": "219-865-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLARKSVILLE EMERGENCY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "LIPSMEYER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-609-1221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.