Active NPI
Perry County OB/GYN
- Obstetrics & Gynecology Physician
- Tell City, IN
National Provider Identifier
1033100367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PERRY COUNTY OB/GYN
- Practice address
- 109 US Highway 66 E
Tell City, IN 47586-2755 - Phone
- (812) 547-3447
- Fax
- (812) 547-9543
- NPI assigned
- Nov 4, 2005
- Organization subpart
- Yes
- Parent organization
- PERRY COUNTY MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph A. Stuber
- Title
- Ceo
- Phone
- (812) 547-7011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
109 US Highway 66 E
Tell City, IN 47586-2755
Mailing address
109 US Highway 66 E
Tell City, IN 47586-2755
Phone (812) 547-9549
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100270000B | Medicaid | IN | |
| 000000513877 | Other | IN | ANTHEM |
| 15D1003624 | Other | IN | CLIA |
| DF7541 | Other | IN | RAILROAD MEDICARE |
| 100270000D | Medicaid | IN | |
| 7100026900 | Medicaid | KY |
National Provider Directory
National Provider Directory- Part of
- Perry County Memorial Hospital
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": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1033100367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 66 E",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475862755",
"telephone_number": "812-547-9549",
"fax_number": "812-547-9543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 66 E",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475862755",
"telephone_number": "812-547-3447",
"fax_number": "812-547-9543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY COUNTY OB/GYN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PERRY COUNTY MEMORIAL HOSPITAL",
"enumeration_date": "2005-11-04",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "STUBER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "812-547-7011"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270000B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000513877",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "15D1003624",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DF7541",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270000D",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100026900",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tell City, IN
- Perry County Memorial Hospital
- Perry County Memorial Hospital
- Perry County Memorial Hospital
- Perry County Memorial Hospital
- Perry County Memorial Hospital Companion Care
- Perry County Radiological Associates,LLC
- Perry Regional Foot & Ankle, PSC
- Baylie Madison Peter, MSOT, OTR
- Layla Jane Piper, MSW, LSW
- Andrea Marie Polk, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.