Active NPI
Accudoc Inc PC
- Urgent Care Clinic/Center
- Greendale, IN
National Provider Identifier
1417201229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- ACCUDOC INC PC
- Practice address
- 555 E Eads Pkwy
Greendale, IN 47025 - Phone
- (812) 577-0092
- Fax
- (812) 577-0127
- NPI assigned
- Oct 31, 2012
- 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. Trent R Austin, MD
- Title
- President
- Phone
- (812) 212-2969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
555 E Eads Pkwy
Greendale, IN 47025
Mailing address
555 E Eads Pkwy
Greendale, IN 47025-7384
Phone (812) 577-0092
Other names 1
- AccuDoc Urgent Care of Greendale
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363305600000",
"number": "1417201229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E EADS PKWY",
"city": "GREENDALE",
"state": "IN",
"postal_code": "470257384",
"telephone_number": "812-577-0092",
"fax_number": "812-577-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E EADS PKWY",
"city": "GREENDALE",
"state": "IN",
"postal_code": "47025",
"telephone_number": "812-577-0092",
"fax_number": "812-577-0127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCUDOC INC PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-31",
"last_updated": "2013-03-15",
"status": "A",
"authorized_official_last_name": "AUSTIN",
"authorized_official_first_name": "TRENT",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-212-2969",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AccuDoc Urgent Care of Greendale",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greendale, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.