Batesville Medical Specialties LLC
Organization Active NPI Internal Medicine Physician · Batesville, IN
NPI 1295937746 · NPPES record last updated Sep 21, 2010
Key facts
- NPI
- 1295937746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01049451A (IN)
- Legal business name
- BATESVILLE MEDICAL SPECIALTIES LLC
- Practice address
- 1051 St Rd 229
Batesville, IN 47006 - Phone
- (812) 934-5924
- Fax
- (812) 934-6436
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
Authorized official
- Name
- John Bisbee Johnson, MD
- Title
- MD
- Phone
- (812) 934-5924
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041013000692 | IN | Part B Supplier - Clinic/Group Practice | 6608836796 |
Receives reassigned benefits from 1 practitioner Practice locations: Batesville, IN |
National Provider Directory
Locations
374 Northside Dr
Ste D
Batesville, IN 47006
Phone (812) 933-1600
Interoperability endpoints
- johnjohnson@bmspec.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 01049451A | IN | Yes |
Addresses
Primary practice location
1051 St Rd 229
Batesville, IN 47006
Mailing address
1051 St Rd 229
Batesville, IN 47006
Phone (812) 934-5924
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200492740A | Medicaid | IN |
Other providers in Batesville, IN
- Trent R Austin
- Molly Barrows
- Kaitlyn Barton
- Batesville Community School Corp
- Batesville Dental
- Batesville Primary Care
- Janelle Jean Batta
- L a Bauer
- Elaina Beach
- Beacon Orthopaedics & Sports Medicine, LTD
All providers in Batesville, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.