River City Geriatrics

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

36086 Issued in KY

Legal business name

RIVER CITY GERIATRICS

Practice address

6823 Highway 311
Sellersburg, IN 47172-1801

Phone

(502) 541-3494

Fax

(502) 526-4565

NPI assigned

Dec 11, 2006

Last updated

Sep 25, 2007By 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

Mr. Jayesh Sheth, MDNPI 1003845488

Title

Owner Physician

Phone

(502) 541-3494

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Jayesh Sheth, MD

  • Family Medicine Physician
  • Sellersburg, IN
  • NPI 1003845488
  Authorized official Same address or phone

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1447310420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 HIGHWAY 311",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721801",
            "telephone_number": "502-541-3494",
            "fax_number": "502-526-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 HIGHWAY 311",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721801",
            "telephone_number": "502-541-3494",
            "fax_number": "502-526-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY GERIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "502-541-3494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "KY",
            "license": "36086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65935512",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Sellersburg, IN
• Providers in Sellersburg, IN by specialty
• Geriatric Medicine (Family Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.