Union Associated Physicians Clinic, LLC

Organization Active NPI Orthopaedic Surgery Physician · Terre Haute, IN

NPI 1164756367 · NPPES record last updated Jul 20, 2023

Key facts

NPI
1164756367
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Practice address
1725 N 5TH St
Terre Haute, IN 47804-4010
Phone
(812) 242-3005
Fax
(812) 242-3034
NPI assigned
Sep 22, 2009
Organization subpart
Yes
Parent organization (as reported)
UNION ASSOCIATED PHYSICIANS CLINIC, LLC

Authorized official

Name
Steve Holman
Title
Ceo
Phone
(812) 238-7606

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 230

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

View all 230

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930086489 IN DME Supplier - Multi-Specialty - Physician
DME Supplier - Sports Medicine
3375687437 Practice locations: Terre Haute, IN

National Provider Directory

Tax ID family
Union Associated Physicians (19 organizations share this tax ID)
Part of
Union Associated Physicians

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207QS0010X
Rheumatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RR0500X
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207X00000X Yes
Orthopaedic Hand Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207XS0106X
Foot & Ankle Surgery Podiatrist
Group: 193200000X MULTI-SPECIALTY GROUP
213ES0103X

Addresses

Primary practice location

1725 N 5TH St
Terre Haute, IN 47804-4010

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 232-0564

Other identifiers

IdentifierTypeStateIssuer
200975660MedicaidIN
DQ0893OtherINRAILROAD MEDICARE

Other providers in Terre Haute, IN

All providers in Terre Haute, IN · Orthopaedic Surgery Physician in Indiana

Sources for this page

Verify at the official NPI Registry.