Active NPI
Dearborn County Surgery PC
- Surgery Physician
- Lawrenceburg, IN
National Provider Identifier
1073695243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- DEARBORN COUNTY SURGERY PC
- Practice address
- 368 Bielby Rd
Suite 100
Lawrenceburg, IN 47025-1099 - Phone
- (812) 537-5772
- Fax
- (812) 537-3936
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth A Kroger, ST, CMA
- Title
- Practice Manager
- Phone
- (812) 537-5772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | IN | Primary |
Addresses
Primary practice location
368 Bielby Rd
Suite 100
Lawrenceburg, IN 47025-1099
Mailing address
368 Bielby Rd
Suite100
Lawrenceburg, IN 47025-2774
Phone (812) 537-5772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4401214 | Medicaid | TN | |
| 100094180 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
368 Bielby Rd
Ste 100
Lawrenceburg, IN 47025
Phone (812) 537-5772
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Lawrenceburg, IN
- NPI 1730180530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320883200000",
"number": "1073695243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "368 BIELBY RD",
"address_2": "SUITE100",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470252774",
"telephone_number": "812-537-5772",
"fax_number": "812-537-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "368 BIELBY RD",
"address_2": "SUITE 100",
"city": "LAWRENCEBURG",
"state": "IN",
"postal_code": "470251099",
"telephone_number": "812-537-5772",
"fax_number": "812-537-3936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEARBORN COUNTY SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2011-11-10",
"status": "A",
"authorized_official_last_name": "KROGER",
"authorized_official_first_name": "BETH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "812-537-5772",
"authorized_official_credential": "ST, CMA"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4401214",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100094180",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.