Active NPI
Internal Medicine Associates of Shelby County,Inc.
- Internal Medicine Physician
- Shelbyville, IN
National Provider Identifier
1316058555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE ASSOCIATES OF SHELBY COUNTY,INC.
- Practice address
- 2158 Intelliplex Drive
Suite 200
Shelbyville, IN 46176-8846 - Phone
- (317) 392-3651
- Fax
- (317) 398-0538
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Horner
- Title
- Ceo
- Phone
- (317) 392-3211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IN | Primary |
Addresses
Primary practice location
2158 Intelliplex Drive
Suite 200
Shelbyville, IN 46176-8846
Mailing address
2158 Intelliplex Drive
Suite 200
Shelbyville, IN 46176-8846
Phone (317) 392-3651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200207590 | Medicaid | IN |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Willows of Greensburg
- Skilled Nursing Facility
- Greensburg, IN
- NPI 1215207584
Member Of
-
dba Medworks Pharmacy
- Community/Retail Pharmacy
- Shelbyville, IN
- NPI 1710070156
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1316058555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2158 INTELLIPLEX DRIVE",
"address_2": "SUITE 200",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768846",
"telephone_number": "317-392-3651",
"fax_number": "317-398-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2158 INTELLIPLEX DRIVE",
"address_2": "SUITE 200",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768846",
"telephone_number": "317-392-3651",
"fax_number": "317-398-0538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE ASSOCIATES OF SHELBY COUNTY,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HORNER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "317-392-3211",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200207590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.