Columbus Regional Health Physicians, LLC
Organization Active NPI Family Medicine Physician · Nashville, IN
NPI 1114397577 · NPPES record last updated Oct 23, 2015
Key facts
- NPI
- 1114397577
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC
- Practice address
- 103 Willow St
Suite B
Nashville, IN 47448-7605 - Phone
- (812) 988-2223
- NPI assigned
- Sep 29, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas A Sonderman, M.D.
- Title
- Cmo
- Phone
- (812) 334-8958
Other NPIs on the same Medicare enrollment 15
Practitioners 2
-
Ann Elizabeth James, NURSE PRACTITIONER
-
Pamela Rae Spencer, R.N.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151211000054 | IN | Part B Supplier - Clinic/Group Practice | 1052612314 |
Receives reassigned benefits from 259 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, IN; Seymour, IN; North Vernon, IN; Greensburg, IN |
National Provider Directory
Locations
103 Willow St
Ste B
Nashville, IN 47448
Phone (812) 988-2223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
103 Willow St
Suite B
Nashville, IN 47448-7605
Mailing address
3875 W Presidential Way
Edinburgh, IN 46124-9058
Phone (812) 373-3025
Other providers in Nashville, IN
- Christole, Inc
- Christole, Inc.
- Rebecca L Clark
- Elizabeth Clephane
- Megan A Colglazier
- Leah Renee Craig
- Tatiana D. Doran
- Stephen Fleetwood
- Carrie Frances Foley
- Kelly M Freeland
All providers in Nashville, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.