NPIMap

Organization Active NPI

Theresa M. Alexander MD LLC

  • Family Medicine Physician
  • Knox, IN
National Provider Identifier
1447456363
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01045409A Issued in IN
Legal business name
THERESA M. ALEXANDER MD LLC
Doing business as
Center for Family Health Care
Practice address
1006 S Edgewood Dr
Knox, IN 46534-8226
Phone
(574) 772-5505
Fax
(574) 772-6151
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Dr. Theresa Marie Alexander, MD
Title
Owner
Phone
(574) 772-5505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01045409A IN Primary

Addresses

Primary practice location

1006 S Edgewood Dr
Knox, IN 46534-8226

Mailing address

1006 S Edgewood Dr
Knox, IN 46534-8226
Phone (574) 772-5505

Other identifiers 3

IdentifierTypeStateIssuer
CG1710OtherINRAIL ROAD MEDICARE GROUP
200441390AMedicaidIN
000000105391OtherINANTHEM BLUE CROSS GROUP

Other names 1

  • Center for Family Health Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1447456363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 S EDGEWOOD DR",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348226",
            "telephone_number": "574-772-5505",
            "fax_number": "574-772-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S EDGEWOOD DR",
            "city": "KNOX",
            "state": "IN",
            "postal_code": "465348226",
            "telephone_number": "574-772-5505",
            "fax_number": "574-772-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA M. ALEXANDER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-772-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01045409A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GROUP",
            "identifier": "CG1710",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441390A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS GROUP",
            "identifier": "000000105391",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Family Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knox, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.