Active NPI
Robert A Ward, MD
- Family Medicine Physician
- Tell City, IN
National Provider Identifier
1356337307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01020534
- Practice address
- 109 US Highway 66 E
Tell City, IN 47586-2755 - Phone
- (812) 547-3447
- Fax
- (812) 547-9543
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01020534 | IN | Primary |
Addresses
Primary practice location
109 US Highway 66 E
Tell City, IN 47586-2755
Mailing address
109 US Highway 66 E
Tell City, IN 47586-2755
Phone (812) 547-3447
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000242955 | Other | IN | ANTHEM BC/BS |
| 100203010A | Medicaid | IN | |
| 15D1005855 | Other | IN | CLIA |
| 080194390 | Other | RAILROAD MEDICARE | |
| 64344591 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01020534 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry County Memorial Hospital | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/775a5afe-736f-4ab9-8474-145e99d69207/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Tell City, IN
- NPI 1023009339
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1356337307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 66 E",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475862755",
"telephone_number": "812-547-3447",
"fax_number": "812-547-9543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 66 E",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475862755",
"telephone_number": "812-547-3447",
"fax_number": "812-547-9543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01020534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000242955",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100203010A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "15D1005855",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080194390",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64344591",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.