NPIMap

Organization Active NPI

Middlebury Family Physicians, Inc

Doing business as Millersburg Family Physicians

  • Family Medicine Physician
  • Millersburg, IN
National Provider Identifier
1144368382
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDDLEBURY FAMILY PHYSICIANS, INC
Doing business as
Millersburg Family Physicians
Practice address
501 E Washington St
Millersburg, IN 46543-7711
Phone
(574) 642-4550
Fax
(574) 642-4877
NPI assigned
Feb 1, 2007
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mr. Steven P Wendler
Title
Adinistrator
Phone
(574) 825-2146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

501 E Washington St
Millersburg, IN 46543-7711

Mailing address

501 E Washington St
Millersburg, IN 46543-7711
Phone (574) 642-4550

Other identifiers 1

IdentifierTypeStateIssuer
DE5884OtherINR/R MEDICARE

Other names 1

  • Millersburg Family Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

501 E Washington St
Millersburg, IN 46543
Phone (574) 642-0233

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1144368382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E WASHINGTON ST",
            "city": "MILLERSBURG",
            "state": "IN",
            "postal_code": "465437711",
            "telephone_number": "574-642-4550",
            "fax_number": "574-642-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E WASHINGTON ST",
            "city": "MILLERSBURG",
            "state": "IN",
            "postal_code": "465437711",
            "telephone_number": "574-642-4550",
            "fax_number": "574-642-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURY FAMILY PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "WENDLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADINISTRATOR",
        "authorized_official_telephone_number": "574-825-2146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "DE5884",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millersburg Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millersburg, IN

Sources for this page

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