Active NPI
Blue Elk Family Clinic LLC
Doing business as Blue Elk Family Clinic
- Family Medicine Physician
- Nashville, IN
National Provider Identifier
1104499649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BLUE ELK FAMILY CLINIC LLC
- Doing business as
- Blue Elk Family Clinic
- Practice address
- 50 E Willow St Ste C
Nashville, IN 47448 - Phone
- (812) 200-8265
- Fax
- (833) 972-1963
- NPI assigned
- Jul 22, 2021
- Last updated
- Jul 22, 2021
- 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. Lawrence David Sanchez, MD
- Title
- Owner/Physician
- Phone
- (812) 200-8265
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
50 E Willow St Ste C
Nashville, IN 47448
Mailing address
8410 S 575 W
Morgantown, IN 46160-8492
Phone (414) 640-4945
Other names 1
- Blue Elk Family Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Slayton, MN
- NPI 1841290301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626912000000",
"number": "1104499649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8410 S 575 W",
"city": "MORGANTOWN",
"state": "IN",
"postal_code": "461608492",
"telephone_number": "414-640-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E WILLOW ST STE C",
"city": "NASHVILLE",
"state": "IN",
"postal_code": "47448",
"telephone_number": "812-200-8265",
"fax_number": "833-972-1963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE ELK FAMILY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "812-200-8265",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Blue Elk Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nashville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.