Active NPI
Concierge Care of Southern Indiana LLC
- General Practice Physician
- Floyds Knobs, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CONCIERGE CARE OF SOUTHERN INDIANA LLC
- Practice address
- 500 Lafollette Sta S
Floyds Knobs, IN 47119-8747 - Phone
- (812) 596-9362
- NPI assigned
- Dec 29, 2021
- Last updated
- Mar 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Eichenberger, MD
- Title
- Owner
- Phone
- (812) 596-9362
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary |
Addresses
Primary practice location
500 Lafollette Sta S
Floyds Knobs, IN 47119-8747
Mailing address
500 Lafollette Sta N
Floyds Knobs, IN 47119-8747
Phone (812) 596-9362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2248665 | Concierge Care of Southern Indiana | Certificate of waiver | Jan 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
500 Lafollette Sta N
Floyds Knobs, IN 47119
500 Lafollette Sta N
Ste A
Floyds Knobs, IN 47119
Phone (812) 596-9362
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Floyds Knobs, IN
- NPI 1255316527
-
- Internal Medicine Physician
- New Albany, IN
- NPI 1831115765
-
- Internal Medicine Physician
- Floyds Knobs, IN
- NPI 1992788624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1245990449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LAFOLLETTE STA N",
"city": "FLOYDS KNOBS",
"state": "IN",
"postal_code": "471198747",
"telephone_number": "812-596-9362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LAFOLLETTE STA S",
"city": "FLOYDS KNOBS",
"state": "IN",
"postal_code": "471198747",
"telephone_number": "812-596-9362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCIERGE CARE OF SOUTHERN INDIANA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-29",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "EICHENBERGER",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-596-9362",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Floyds Knobs, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.