Columbus Regional Health Physicians, LLC
Organization Active NPI Family Medicine Physician · Columbus, IN
NPI 1124498605 · NPPES record last updated Oct 27, 2015
Key facts
- NPI
- 1124498605
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC
- Practice address
- 2326 18TH St
Suite 120
Columbus, IN 47201-5362 - Phone
- (812) 372-1570
- NPI assigned
- Sep 28, 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 1
-
Zachary Siegel, MD
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2326 18TH St
Suite 120
Columbus, IN 47201-5362
Mailing address
3875 W Presidential Way
Edinburgh, IN 46124-9058
Other providers in Columbus, IN
- Columbus Physicians Associates PC
- Columbus Radiology Inc
- Columbus Radiology Physicians LLC
- Columbus Regional Health Phyisicans, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
All providers in Columbus, 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 27, 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.