Procare Medical LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

PROCARE MEDICAL LLC

Practice address

2723 S 7TH St
Ste a
Terre Haute, IN 47802-3558

Phone

(812) 238-1730

Fax

(812) 242-1565

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. George B Bittar, M.D.

Title

Member

Phone

(812) 232-8164

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1104076306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST",
            "address_2": "STE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-238-1730",
            "fax_number": "812-242-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST",
            "address_2": "STE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-238-1730",
            "fax_number": "812-242-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "BITTAR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "812-232-8164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200946110A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000597392",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.