Organization Active NPI

Vincennes Orthopaedic Surgery Clinic, Inc.

  • Specialist
  • Vincennes, IN
National Provider Identifier
1285774117
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VINCENNES ORTHOPAEDIC SURGERY CLINIC, INC.
Practice address
1019 Bayou St
Vincennes, IN 47591-2731
Phone
(812) 882-6972
Fax
(812) 885-2371
NPI assigned
Feb 8, 2007
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Mr. Jeffrey Glosser I, MS
Title
Group Administrator
Phone
(812) 882-6972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1019 Bayou St
Vincennes, IN 47591-2731

Mailing address

PO Box 313
Vincennes, IN 47591-0313
Phone (812) 882-6972

Other identifiers 1

IdentifierTypeStateIssuer
100154180MedicaidIN

National Provider Directory

National Provider Directory

Locations

1019 Bayou St
Vincennes, IN 47591
Phone (812) 790-2877

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1285774117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475910313",
            "telephone_number": "812-882-6972",
            "fax_number": "812-885-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 BAYOU ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475912731",
            "telephone_number": "812-882-6972",
            "fax_number": "812-885-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENNES ORTHOPAEDIC SURGERY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "GLOSSER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "GROUP ADMINISTRATOR",
        "authorized_official_telephone_number": "812-882-6972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100154180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.