Active NPI
Michael Seaborn Love, MD
- Orthopaedic Surgery Physician
- Jasper, IN
National Provider Identifier
1437110319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01048505A
- Practice address
- 1900 Saint Charles St
Jasper, IN 47546-9145 - Phone
- (812) 634-1211
- Fax
- (812) 634-1582
- NPI assigned
- Mar 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01048505A | IN | Primary |
Addresses
Primary practice location
1900 Saint Charles St
Jasper, IN 47546-9145
Mailing address
1900 Saint Charles St
Jasper, IN 47546-9145
Phone (812) 634-1211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200182880A | Medicaid | IN | |
| 215020A | Other | IN | MEDICARE GROUP # |
| 15-8507 | Other | IN | FRENCH LICK FAMILY MEDICINE MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048505A | IN | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1437110319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 SAINT CHARLES ST",
"city": "JASPER",
"state": "IN",
"postal_code": "475469145",
"telephone_number": "812-634-1211",
"fax_number": "812-634-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SAINT CHARLES ST",
"city": "JASPER",
"state": "IN",
"postal_code": "475469145",
"telephone_number": "812-634-1211",
"fax_number": "812-634-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "MICHAEL",
"middle_name": "SEABORN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-30",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01048505A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200182880A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "215020A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FRENCH LICK FAMILY MEDICINE MEDICARE NUMBER",
"identifier": "15-8507",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.