Individual provider Active NPI

Alan R. Kohlhaas, M.D.

  • Orthopaedic Surgery Physician
  • Lawrenceburg, IN
National Provider Identifier
1104849876
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
010308148 Issued in IN
Practice address
555 E. Eads Pkwy, Ste 100
Lawrenceburg, IN 47025-7385
Phone
(812) 537-5722
Fax
(812) 537-4131
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 010308148 IN Primary

Addresses

Primary practice location

555 E. Eads Pkwy, Ste 100
Lawrenceburg, IN 47025-7385

Mailing address

555 E. Eads Pkwy, Ste 100
Lawrenceburg, IN 47025-7385
Phone (812) 537-5722

Other identifiers 1

IdentifierTypeStateIssuer
100093680AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
010308148INMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1104849876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E. EADS PKWY, STE 100",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470257385",
            "telephone_number": "812-537-5722",
            "fax_number": "812-537-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E. EADS PKWY, STE 100",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470257385",
            "telephone_number": "812-537-5722",
            "fax_number": "812-537-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLHAAS",
        "first_name": "ALAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "010308148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100093680A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.