Quality Care for Kids Indiana

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01023950A Issued in IN

Legal business name

QUALITY CARE FOR KIDS INDIANA

Practice address

134 N Gardner St
Scottsburg, IN 47170-1306

Phone

(502) 226-3937

Fax

(502) 226-2929

NPI assigned

Jan 20, 2012

Last updated

Jan 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle Renae Stivers

Title

President

Phone

(502) 226-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1396016473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DIAGNOSTIC DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406016524",
            "telephone_number": "502-226-3937",
            "fax_number": "502-226-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N GARDNER ST",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471701306",
            "telephone_number": "502-226-3937",
            "fax_number": "502-226-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE FOR KIDS INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "STIVERS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-226-3937"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01023950A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "01023950A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix Emergency Services of Scott County LLC
• Planned Parenthood of Indiana Scottsburg
• Premier Home Care, Inc
• Prorehab Louisville, LLC
• Putnam County Hospital (The Waters of Scottsburg)
• R. Kevin Rogers MD
• Dana Reinsdorf, MSW
• Rescare Inc
• Lori Ann Richie
• Dana Michelle Riley

• Ophthalmology Physician in Scottsburg, IN
• Providers in Scottsburg, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.