Active NPI
Union Associated Physicians Clinic, LLC
- Cardiovascular Disease Physician
- Paris, IL
National Provider Identifier
1154654580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- UNION ASSOCIATED PHYSICIANS CLINIC, LLC
- Practice address
- 727 E Court St
Paris, IL 61944-2460 - Phone
- (217) 465-8411
- NPI assigned
- Sep 17, 2009
- Organization subpart
- Yes
- Parent organization
- UNION ASSOCIATED PHYSICIANS CLINIC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael P Fouty
- Title
- Cfo
- Phone
- (812) 232-0564
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Otolaryngology Physician | 207Y00000X | |||
| Urology Physician | 208800000X |
Addresses
Primary practice location
727 E Court St
Paris, IL 61944-2460
Mailing address
221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 232-0564
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ7114 | Other | IL | RAILROAD MEDICARE |
| 200975660 | Medicaid | IN |
National Provider Directory
National Provider Directory- Part of
- Union Associated Physicians
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1154654580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074214",
"telephone_number": "812-232-0564",
"fax_number": "812-242-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 E COURT ST",
"city": "PARIS",
"state": "IL",
"postal_code": "619442460",
"telephone_number": "217-465-8411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION ASSOCIATED PHYSICIANS CLINIC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNION ASSOCIATED PHYSICIANS CLINIC, LLC",
"enumeration_date": "2009-09-17",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "FOUTY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "812-232-0564"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DQ7114",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200975660",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.