FMMG Harrison Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FMMG HARRISON FAMILY MEDICINE LLC

Practice address

313 Federal Dr NW
Suite 200
Corydon, IN 47112-3070

Phone

(812) 738-4155

Fax

(812) 738-6104

NPI assigned

Jun 1, 2011

Organization subpart

No

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

Authorized official

Name

Daniel Eichenberger

Title

President / Ceo

Phone

(812) 948-7632

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Floyd Memorial Hospital and Health Services

  • Durable Medical Equipment & Medical Supplies
  • New Albany, IN
  • NPI 1770521619

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul B Lonnemann, PT OCS MTC

  • Physical Therapist
  • Floyds Knobs, IN
  • NPI 1639169311
  NPD (past)
• Margaret A Wicinski, PT DPT MTC PCC

  • Physical Therapist
  • Floyds Knobs, IN
  • NPI 1245220367
  NPD (past)

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1275827784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 FEDERAL DR NW",
            "address_2": "SUITE 200",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123070",
            "telephone_number": "812-738-4155",
            "fax_number": "812-738-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FEDERAL DR NW",
            "address_2": "SUITE 200",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123070",
            "telephone_number": "812-738-4155",
            "fax_number": "812-738-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMMG HARRISON FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "EICHENBERGER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "812-948-7632"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201040630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Associates of Southern Indiana PC
• Fal-Corydon, Inc.
• Family Health Center of Harrison County, Inc.
• First Urology, PSC
• Cheryl Lynn Fisher, R.D.
• Forefront Dermatology, S.C.
• Brian Franken, DC
• Ladonna Kay Frantz, RPH
• Bucky R Galloway, PHARMD, RPH
• Sara Gatwood

• All providers in Corydon, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.