Organization Active NPI

Terre Haute Medical Corp PC

  • Family Medicine Physician
  • Carlisle, IN
National Provider Identifier
1154450724
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01039701A Issued in IN
Legal business name
TERRE HAUTE MEDICAL CORP PC
Practice address
8685 S Old US 41
Carlisle, IN 47838
Phone
(812) 398-5200
Fax
(812) 398-5102
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Alexander Ton, MDNPI 1306836549
Title
Owner
Phone
(812) 234-2289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01039701A IN Primary

Addresses

Primary practice location

8685 S Old US 41
Carlisle, IN 47838

Mailing address

4757 S 7TH St
Terre Haute, IN 47802-4559
Phone (812) 234-2289

Other identifiers 1

IdentifierTypeStateIssuer
200230410MedicaidIN

Other names 1

  • Carlisle MedicalClinic Doing business as

National Provider Directory

National Provider Directory

Locations

8685 S Old 41
Carlisle, IN 47838
Phone (812) 398-5200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1154450724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024559",
            "telephone_number": "812-234-2289",
            "fax_number": "812-232-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8685 S OLD US 41",
            "city": "CARLISLE",
            "state": "IN",
            "postal_code": "47838",
            "telephone_number": "812-398-5200",
            "fax_number": "812-398-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRE HAUTE MEDICAL CORP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "TON",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-234-2289",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01039701A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200230410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlisle MedicalClinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlisle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.