Intrepid of Wabash, Inc.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

INTREPID OF WABASH, INC.

Doing business as

Intrepid Palliative & Supportive Care

Practice address

2901 Ohio Blvd Ste 210-2
Terre Haute, IN 47803-2239

Phone

(812) 232-0725

NPI assigned

Aug 5, 2021

Last updated

Aug 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Parker, CCO

Title

Chief Compliance Officer

Phone

(214) 445-3750

Specialties & licenses 1

Addresses

Other names 1

• Intrepid Palliative & Supportive Care Doing business as

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1114691854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 KELLER SPRINGS RD STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OHIO BLVD STE 210-2",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032239",
            "telephone_number": "812-232-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPID OF WABASH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "214-445-3750",
        "authorized_official_credential": "CCO"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intrepid Palliative & Supportive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbee Inman
• Institutional Pharmacy Solutions LLC (Institutional Pharmacy Solutions)
• Internal Medicine Nephrology, Inc.
• Internal Medicine of the Wabash Valley P.C.
• Intrepid of Southern Indiana, Inc. (Intrepid USA Hospice)
• Fnu Irfan Shafi, M.D
• Irma D Davis LMFT
• Samuel Irving, CRNA
• Danny Isawi
• Amanda Isbister

• Hospice and Palliative Medicine (Family Medicine) Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.