Organization Active NPI

Accudoc Inc PC

  • Urgent Care Clinic/Center
  • Greendale, IN
National Provider Identifier
1417201229
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Mar 15, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.