Organization Active NPI

Logansport Family Health Care PC

  • Family Medicine Physician
  • Logansport, IN
National Provider Identifier
1467540781
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50003710A Issued in IN
Legal business name
LOGANSPORT FAMILY HEALTH CARE PC
Practice address
1201 Michigan Avenue
Suite 270
Logansport, IN 46947-1530
Phone
(574) 722-4921
Fax
(574) 739-0520
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cory S Neumann, M.D.
Title
President of Corporation
Phone
(574) 722-4921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 50003710A IN Primary

Addresses

Primary practice location

1201 Michigan Avenue
Suite 270
Logansport, IN 46947-1530

Mailing address

1201 Michigan Avenue
Suite 270
Logansport, IN 46947-1530
Phone (574) 722-4921

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467540781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVENUE",
            "address_2": "SUITE 270",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471530",
            "telephone_number": "574-722-4921",
            "fax_number": "574-739-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVENUE",
            "address_2": "SUITE 270",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471530",
            "telephone_number": "574-722-4921",
            "fax_number": "574-739-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGANSPORT FAMILY HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "574-722-4921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "50003710A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.