NPIMap

Organization Active NPI

Medstat LLC

  • Primary Care Clinic/Center
  • Warsaw, IN
National Provider Identifier
1437689783
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEDSTAT LLC
Practice address
1500 Provident Dr Ste a
Warsaw, IN 46580-3297
Phone
(574) 372-7637
NPI assigned
Jun 19, 2017
Organization subpart
Yes
Parent organization
MEDSTAT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Megan Martin
Title
Vice President
Phone
(574) 372-7638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1500 Provident Dr Ste a
Warsaw, IN 46580-3297

Mailing address

1500 Provident Dr Ste a
Warsaw, IN 46580-3297
Phone (574) 372-7637

National Provider Directory

National Provider Directory
Tax ID family
Medstat4 organizations share this tax ID, including this one
Part of
Medstat

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437689783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PROVIDENT DR STE A",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803297",
            "telephone_number": "574-372-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PROVIDENT DR STE A",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803297",
            "telephone_number": "574-372-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDSTAT LLC",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "574-372-7638"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.