Direct Patient Care of Evansville, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DIRECT PATIENT CARE OF EVANSVILLE, LLC

Doing business as

Direct Patient Care of Evansville

Practice address

1202 W Buena Vista Rd Ste 102
Evansville, IN 47710-5185

Phone

(812) 297-6310

Fax

(812) 437-8243

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

James E Jenison, MD

Title

Owner

Phone

(812) 297-6310

Specialties & licenses 1

Addresses

Other names 1

• Direct Patient Care of Evansville Doing business as

Locations

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1336731330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W BUENA VISTA RD STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105185",
            "telephone_number": "812-297-6310",
            "fax_number": "812-437-8243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W BUENA VISTA RD STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105185",
            "telephone_number": "812-297-6310",
            "fax_number": "812-437-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT PATIENT CARE OF EVANSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "JENISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-297-6310",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Patient Care of Evansville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Direct Patient Care of Evansville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew J Dimaggio, PHARM.D.
• Philip E Dinsmore, MD
• Dion J Dulay, MD, PC
• Diana Lynn Dippel, RNCPNP
• James Bernard Dippel, DDS
• Stephanie Dittmer, NP
• Ditto Technologies, Inc
• Cory Dixon, MD
• Shannon Dixon, PT, DPT, NCS
• Tonya Faye Dixon, LPCC, LMHC

• Clinic/Center in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.