Pic Indiana PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PIC INDIANA PC

Doing business as

Physicians Immediate Care

Practice address

505 W Cleveland Rd
Mishawaka, IN 46545-1003

Phone

(815) 713-2625

NPI assigned

Jan 7, 2013

Last updated

Jan 7, 2013By 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

John Koehler, M.D.

Title

Owner

Phone

(815) 713-2625

Specialties & licenses 1

Addresses

Other names 1

• Physicians Immediate Care Doing business as

Locations

Practitioners 2

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.

• Robert Biernbaum, DO

  • Emergency Medicine Physician
  • Fairport, NY
  • NPI 1467488338
  NPD (past)
• Terry Buzzard, MD

  • Family Medicine Physician
  • Machesney Park, IL
  • NPI 1073590204
  NPD (past)

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1407193725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W CLEVELAND RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W CLEVELAND RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451003",
            "telephone_number": "815-713-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIC INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-713-2625",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Lynne Phillips, FNP
• Phoenix Counseling Services, Incorporated
• Physicians Holistic Health Alliance, LLC
• Physicians Hospital, LLC
• Physiotherapy Associates Inc (Select Physical Therapy)
• Pic Indiana PC (WellNow Urgent Care)
• Michelle Nicole Pierson
• Pigment & Purpose LLC
• Alfred Louis Pinto, D.C.
• Tracy Pizano, BSW

• Urgent Care Clinic/Center in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Urgent Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.