Evansville OBGYN

Primary specialty

SpecialistTaxonomy code 174400000X

License

01040195A Issued in IN

Legal business name

EVANSVILLE OBGYN

Practice address

7145 E Virginia St
Evansville, IN 47715-9147

Phone

(812) 853-2229

NPI assigned

May 6, 2015

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Hastetter

Title

Practice Administrator

Phone

(812) 853-2229

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Tax ID family

Evansville OBGYN2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thomas S. Hastetter MD LLC

  dba Evansville OBGYN

  • Obstetrics & Gynecology Physician
  • Evansville, IN
  • NPI 1114059839
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: vitality@eclinicaldirectplus.com

Practitioners 1

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.

• Thomas Stephan Hastetter, M.D.

  • Obstetrics & Gynecology Physician
  • Evansville, IN
  • NPI 1992770127
  NPD (past)

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1093192387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 E. VIRIGINIA STREET",
            "address_2": "STE 2000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159147",
            "telephone_number": "812-962-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 E VIRGINIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159147",
            "telephone_number": "812-853-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "HASTETTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "812-853-2229"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01040195A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180740",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200957250A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Vitality@eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7145 E Virginia St",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477159144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Evansville Multi-Specialty Clinic, PC
• Evansville Pediatric Dentistry, P.C.
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• Evansville Plastic Surgical Associates (Epsa)
• Evansville Primary Care LLC (Evansville Primary Care)
• Evansville Psychiatric Associates

• Specialist in Evansville, IN
• Providers in Evansville, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.