Southeast Indiana Obstetrics and Gynecology,LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SOUTHEAST INDIANA OBSTETRICS AND GYNECOLOGY,LLC

Practice address

2451 Intelliplex Drive
Suite 200
Shelbyville, IN 46176

Phone

(317) 398-0193

Fax

(317) 421-2016

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack Horner

Title

Ceo

Phone

(317) 392-3211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194824748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DRIVE",
            "address_2": "SUITE 200",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "46176",
            "telephone_number": "317-398-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DRIVE",
            "address_2": "SUITE 200",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "46176",
            "telephone_number": "317-398-0193",
            "fax_number": "317-421-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST INDIANA OBSTETRICS AND GYNECOLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-392-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Smith
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• Denae Snyder, , LMHCA
• Shelley Gaye Snyder, FNP
• Jeremiah Soto, LMHC
• Southwestern Con SCH Shelby Co
• Nora Jean Spenos, ANP-C
• James Leroy Springer, MD
• Jessica Spurlock
• Alice Faye Stainbrook

• Obstetrics & Gynecology Physician in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.