Tell City Pediatrics
Organization Active NPI Pediatrics Physician · Tell City, IN
NPI 1376534685 · NPPES record last updated Mar 11, 2010
Key facts
- NPI
- 1376534685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 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
- Organization subpart
- Yes
- Parent organization (as reported)
- PERRY COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Joseph A. Stuber
- Title
- Ceo
- Phone
- (812) 547-7011
National Provider Directory
- Part of
- Perry County Memorial Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000359519 | Other | IN | ANTHEM |
| 65943706 | Medicaid | KY | |
| 15D1038972 | Other | IN | CLIA |
| 200398420A | Medicaid | IN |
Other providers in Tell City, IN
- Ronald P Stauffer
- Amy Stenftenagel
- Stephen E. Syler
- Adrienne Taylor
- Tell City Family Dentistry, LLC
- Tell City-Troy TWP. School Corp.
- Tell Me, LLC
- Thomas P. Bailey, MD, LLC
- TRC - Indiana LLC
- Neil William Troost
All providers in Tell City, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.