NPIMap

Organization Active NPI

Union Associated Physicians Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1285967679
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Practice address
1739 N 4TH St
Terre Haute, IN 47804-4002
Phone
(812) 242-3600
Fax
(812) 242-3620
NPI assigned
Sep 16, 2009
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
UNION ASSOCIATED PHYSICIANS CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Steve Holman
Title
Ceo
Phone
(812) 238-7606

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Family Medicine Physician 207Q00000X NU Primary
Pulmonary Disease Physician 207RP1001X NU
Neurology Physician 2084N0400X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

1739 N 4TH St
Terre Haute, IN 47804-4002

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 232-0564

Other identifiers 2

IdentifierTypeStateIssuer
DQ0893OtherINRAILROAD MEDICARE
200975660MedicaidIN

National Provider Directory

National Provider Directory
Part of
Union Associated Phys LLC

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1285967679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-232-0564",
            "fax_number": "812-242-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 N 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044002",
            "telephone_number": "812-242-3600",
            "fax_number": "812-242-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION ASSOCIATED PHYSICIANS CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION ASSOCIATED PHYSICIANS CLINIC, LLC",
        "enumeration_date": "2009-09-16",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-238-7606"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DQ0893",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200975660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.