Organization Active NPI

Chester F Higdon MD PC

  • Specialist
  • Evansville, IN
National Provider Identifier
1255535761
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01025367 Issued in IN
Legal business name
CHESTER F HIGDON MD PC
Practice address
3700 Bellemeade Ave Ste 204
Evansville, IN 47714-0126
Phone
(812) 479-4080
Fax
(812) 479-4090
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Dr. Chester F Higdon, MD
Title
MD-Owner
Phone
(812) 479-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 01025367 IN Primary

Addresses

Primary practice location

3700 Bellemeade Ave Ste 204
Evansville, IN 47714-0126

Mailing address

3700 Bellemeade Ave Ste 204
Evansville, IN 47714-0126
Phone (812) 479-4080

Other identifiers 2

IdentifierTypeStateIssuer
100246440MedicaidIN
000000042409OtherINANTHEM

National Provider Directory

National Provider Directory

Locations

3700 Bellemeade Ave
Ste 204
Evansville, IN 47714
Phone (812) 479-4080

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1255535761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BELLEMEADE AVE STE 204",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140126",
            "telephone_number": "812-479-4080",
            "fax_number": "812-479-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BELLEMEADE AVE STE 204",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140126",
            "telephone_number": "812-479-4080",
            "fax_number": "812-479-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER F HIGDON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "HIGDON",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD-OWNER",
        "authorized_official_telephone_number": "812-479-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01025367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000042409",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.