Organization Active NPI

Physician Practice Organization,

Doing business as Southern Indiana OBGYN

  • Obstetrics & Gynecology Physician
  • Columbus, IN
National Provider Identifier
1356369219
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01044962 Issued in IN
Legal business name
PHYSICIAN PRACTICE ORGANIZATION,
Doing business as
Southern Indiana OBGYN
Practice address
2450 N Park Dr
Ste a
Columbus, IN 47203-2216
Phone
(812) 348-6373
Fax
(812) 376-4125
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Mr. George Francis Albers, M.D.NPI 1700923828
Title
Doctor
Phone
(812) 348-6373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 01044962 IN Primary

Addresses

Primary practice location

2450 N Park Dr
Ste a
Columbus, IN 47203-2216

Mailing address

2450 N Park Dr
Ste a
Columbus, IN 47203-2216
Phone (812) 348-6373

Other identifiers 1

IdentifierTypeStateIssuer
200080290AMedicaidIN

Other names 1

  • Southern Indiana OBGYN Doing business as

National Provider Directory

National Provider Directory

Locations

2450 Northpark Dr
Ste A
Columbus, IN 47203
Phone (812) 348-6373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1356369219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 N PARK DR",
            "address_2": "STE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032216",
            "telephone_number": "812-348-6373",
            "fax_number": "812-376-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 N PARK DR",
            "address_2": "STE A",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032216",
            "telephone_number": "812-348-6373",
            "fax_number": "812-376-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PRACTICE ORGANIZATION,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "ALBERS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "812-348-6373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01044962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200080290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Indiana OBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.