Organization Active NPI

Board of Trustees of Howard Community Hospital

Doing business as Howard Regional Health System - Vahid-David Sedaghat, MD

  • Internal Medicine Physician
  • Peru, IN
National Provider Identifier
1255527982
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Doing business as
Howard Regional Health System - Vahid-David Sedaghat, MD
Practice address
1692 W Logansport Rd
Peru, IN 46970-3149
Phone
(765) 472-3000
Fax
(765) 472-3990
NPI assigned
Sep 17, 2007
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Thomas M Cook
Title
Cfo
Phone
(765) 453-8179

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Pediatrics Physician 208000000X

Addresses

Primary practice location

1692 W Logansport Rd
Peru, IN 46970-3149

Mailing address

PO Box 627341
Indianapolis, IN 46262-0001
Phone (765) 472-3000

Other identifiers 1

IdentifierTypeStateIssuer
200011260IMedicaidIN

Other names 1

  • Howard Regional Health System - Vahid-David Sedaghat, MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1255527982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627341",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462620001",
            "telephone_number": "765-472-3000",
            "fax_number": "765-472-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 W LOGANSPORT RD",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469703149",
            "telephone_number": "765-472-3000",
            "fax_number": "765-472-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "765-453-8179"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200011260I",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Regional Health System - Vahid-David Sedaghat, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peru, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.