Active NPI
Southern Indiana Womens Center, LLC
- Obstetrics & Gynecology Physician
- Seymour, IN
National Provider Identifier
1316976533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SOUTHERN INDIANA WOMENS CENTER, LLC
- Practice address
- 631 E Tipton St
Seymour, IN 47274-3519 - Phone
- (812) 522-3162
- Fax
- (812) 523-2069
- NPI assigned
- Jul 1, 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
- Alice Marie Hartman, M.D.
- Title
- Physician Owner
- Phone
- (812) 522-3162
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
631 E Tipton St
Seymour, IN 47274-3519
Mailing address
631 E Tipton St
Seymour, IN 47274-3519
Phone (812) 522-3162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000335976 | Other | IN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
415 S Walnut St
Ste 305
Seymour, IN 47274
Phone (812) 523-3112
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316976533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 E TIPTON ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472743519",
"telephone_number": "812-522-3162",
"fax_number": "812-523-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 E TIPTON ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472743519",
"telephone_number": "812-522-3162",
"fax_number": "812-523-2069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN INDIANA WOMENS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARTMAN",
"authorized_official_first_name": "ALICE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "812-522-3162",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000335976",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.