Pathway Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PATHWAY FAMILY MEDICINE PC

Practice address

301 W Harrison St
Monticello, IN 47960-2211

Phone

(574) 240-1111

Fax

(574) 240-1113

NPI assigned

Aug 20, 2019

Organization subpart

No

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

Authorized official

Name

Stephen K. Rogers, MD

Title

Owner

Phone

(574) 297-1268

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1346897956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LONGTREE LN",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472427",
            "telephone_number": "574-297-1268",
            "fax_number": "574-240-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W HARRISON ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602211",
            "telephone_number": "574-240-1111",
            "fax_number": "574-240-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-297-1268",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Monticello, IN
• Providers in Monticello, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.