Organization Active NPI

Robert a Ehrhard, Mdin, PC

  • Otolaryngology Physician
  • Jasper, IN
National Provider Identifier
1093919086
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01058606A Issued in IN
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

Updated by the provider on Feb 18, 2010

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200966470MedicaidIN
DD2543OtherINRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.