NPIMap

Organization Active NPI

Greensburg Medical Associates P.C.

  • Internal Medicine Physician
  • Greensburg, IN
National Provider Identifier
1215061981
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GREENSBURG MEDICAL ASSOCIATES P.C.
Practice address
995 N Michigan Ave
Ste.95
Greensburg, IN 47240-1487
Phone
(812) 663-8079
NPI assigned
Mar 15, 2007
Organization subpart
Yes
Parent organization
GREENSBURG MEDICAL ASSOCIATES P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Authorized official

Name
Gregory A. Wiseman, M.D.NPI 1912973736
Title
Owner
Phone
(812) 663-8079

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

995 N Michigan Ave
Ste.95
Greensburg, IN 47240-1487

Mailing address

995 N Michigan Ave
Ste.95
Greensburg, IN 47240-1487
Phone (812) 663-8079

Other identifiers 1

IdentifierTypeStateIssuer
100098460AMedicaidIN

Other names 1

  • Greensburg Medical Group Doing business as

National Provider Directory

National Provider Directory
Part of
Greensburg Medical Group

Locations

995 N Michigan Ave
#95
Greensburg, IN 47240
Phone (812) 663-8079

995 N Michigan Ave
Ste 95
Greensburg, IN 47240
Phone (812) 663-8079

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1215061981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 N MICHIGAN AVE",
            "address_2": "STE.95",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401487",
            "telephone_number": "812-663-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N MICHIGAN AVE",
            "address_2": "STE.95",
            "city": "GREENSBURG",
            "state": "IN",
            "postal_code": "472401487",
            "telephone_number": "812-663-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBURG MEDICAL ASSOCIATES P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENSBURG MEDICAL ASSOCIATES P.C.",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-663-8079",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098460A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greensburg Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.