Active NPI
Internal Medicine of the Wabash Valley P.C.
- Internal Medicine Physician
- Terre Haute, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 02002047
- Legal business name
- INTERNAL MEDICINE OF THE WABASH VALLEY P.C.
- Practice address
- 2223 Wabash Ave
Terre Haute, IN 47807-3305 - Phone
- (812) 235-7252
- Fax
- (812) 235-7176
- NPI assigned
- Aug 3, 2015
- Last updated
- Aug 25, 2026
- 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
- Dr. Jon Lee Stockrahm, D.O., CMD
- Title
- President
- Phone
- (812) 235-7252
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 02002047 | IN | Primary |
Addresses
Primary practice location
2223 Wabash Ave
Terre Haute, IN 47807-3305
Mailing address
2223 Wabash Ave
Terre Haute, IN 47807-3305
Phone (812) 235-7252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200227720A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0958708 | Internal Medicine of the Wabash Valley PC | Provider-performed microscopy | Jan 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
1600 E Springhill Dr
Terre Haute, IN 47802
Phone (812) 235-7252
2223 Wabash Ave
Terre Haute, IN 47807
Phone (812) 235-7252
2800 Poplar St
Ste 19A
Terre Haute, IN 47803
Phone (812) 235-7252
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.
-
- Internal Medicine Physician
- Terre Haute, IN
- NPI 1962409466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1356727218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 WABASH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478073305",
"telephone_number": "812-235-7252",
"fax_number": "812-235-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 WABASH AVE",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478073305",
"telephone_number": "812-235-7252",
"fax_number": "812-235-7176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE OF THE WABASH VALLEY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-03",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "STOCKRAHM",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-235-7252",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O., CMD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "02002047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200227720A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
- Janis C Ingebrigtsen, MD
- Injury Provider Network, LLC
- Abbee Inman
- Institutional Pharmacy Solutions LLC (Institutional Pharmacy Solutions)
- Internal Medicine Nephrology, Inc.
- Intrepid of Southern Indiana, Inc. (Intrepid USA Hospice)
- Intrepid of Wabash, Inc. (Intrepid Palliative & Supportive Care)
- Fnu Irfan Shafi, M.D
- Irma D Davis LMFT
- Samuel Irving, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.