Active NPI
Robert a Ehrhard, Mdin, PC
- Otolaryngology Physician
- Jasper, IN
National Provider Identifier
1093919086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 01058606A
- Legal business name
- ROBERT A EHRHARD, MDIN, PC
- Practice address
- 721 W 13TH St
Suite 325
Jasper, IN 47546-1855 - Phone
- (812) 634-6700
- Fax
- (812) 634-6712
- NPI assigned
- Jun 13, 2007
- 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
- Dr. Robert A Ehrhard, MD
- Title
- Owner
- Phone
- (812) 634-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 01058606A | IN | Primary |
Addresses
Primary practice location
721 W 13TH St
Suite 325
Jasper, IN 47546-1855
Mailing address
PO Box 1028
Jasper, IN 47547-1028
Phone (812) 481-8493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200966470 | Medicaid | IN | |
| DD2543 | Other | IN | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266451200000",
"number": "1093919086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1028",
"city": "JASPER",
"state": "IN",
"postal_code": "475471028",
"telephone_number": "812-481-8493",
"fax_number": "812-481-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 W 13TH ST",
"address_2": "SUITE 325",
"city": "JASPER",
"state": "IN",
"postal_code": "475461855",
"telephone_number": "812-634-6700",
"fax_number": "812-634-6712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT A EHRHARD, MDIN, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2010-02-18",
"status": "A",
"authorized_official_last_name": "EHRHARD",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-634-6700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "IN",
"license": "01058606A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200966470",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DD2543",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.