Active NPI
Rising Sun Medical Center Inc
- Family Medicine Physician
- Rising Sun, IN
National Provider Identifier
1124072137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RISING SUN MEDICAL CENTER INC
- Practice address
- 230 6TH St
Rising Sun, IN 47040-1114 - Phone
- (812) 438-2555
- Fax
- (812) 438-1236
- NPI assigned
- May 22, 2006
- 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
- Tom Fuller
- Title
- President
- Phone
- (812) 537-8200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
230 6TH St
Rising Sun, IN 47040-1114
Mailing address
PO Box 639352
Cincinnati, OH 45263-9352
Phone (812) 537-8241
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619948015 | Other | IN | INDIVIDUAL NPI |
| 1841262011 | Other | IN | INDIVIDUAL NPI |
| 000000037297 | Other | IN | ANTHEM |
| 200203240A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1037 W Main St
Vevay, IN 47043
Phone (812) 427-2737
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
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- Mooresville, IN
- NPI 1083649909
-
- Obstetrics & Gynecology Physician
- Lawrenceburg, IN
- NPI 1366411308
-
- Obstetrics & Gynecology Physician
- Lawrenceburg, IN
- NPI 1275568107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503878400000",
"number": "1124072137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639352",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639352",
"telephone_number": "812-537-8241",
"fax_number": "812-537-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 6TH ST",
"city": "RISING SUN",
"state": "IN",
"postal_code": "470401114",
"telephone_number": "812-438-2555",
"fax_number": "812-438-1236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISING SUN MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2017-08-28",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-537-8200"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1619948015",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1841262011",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000037297",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200203240A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rising Sun, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.