Organization Active NPI

Tell City Pediatrics

  • Pediatrics Physician
  • Tell City, IN
National Provider Identifier
1376534685
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TELL CITY PEDIATRICS
Practice address
109 US Highway 66 E
Tell City, IN 47586-2755
Phone
(812) 547-3447
Fax
(812) 547-9543
NPI assigned
Nov 4, 2005
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PERRY COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Joseph A. Stuber
Title
Ceo
Phone
(812) 547-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 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

National Provider Directory

National Provider Directory
Part of
Perry County OBGYN Assoc

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1376534685",
    "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": {
        "organization_name": "TELL CITY PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERRY COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2005-11-04",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "STUBER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-547-7011"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 11, 2010; 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.