NPIMap

Organization Active NPI

Associated Physicians & Surgeons Clinic, LLC

  • Otolaryngology Physician
  • Terre Haute, IN
National Provider Identifier
1477639623
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Practice address
788 S 3Rd St
Terre Haute, IN 47807-4653
Phone
(812) 232-0564
Fax
(812) 242-3848
NPI assigned
Oct 31, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Michael P Fouty
Title
Cfo/Authorized Representative
Phone
(812) 232-0564

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Otolaryngology Physician 207Y00000X NU Primary
Audiologist 231H00000X NU

Addresses

Primary practice location

788 S 3Rd St
Terre Haute, IN 47807-4653

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 232-0564

Other identifiers 3

IdentifierTypeStateIssuer
0176835OtherUS DEPT OF LABOR
ZD3948OtherOPTIMUM CHOICE INC
CA4474OtherRAILROAD MEDICARE PALAMET

National Provider Directory

National Provider Directory
Tax ID family
Aps Clinic14 organizations share this tax ID, including this one
Part of
Aps Clinic

Other organizations with this tax ID 13

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

View all 13

Locations

788 S 3rd St
Terre Haute, IN 47807
Phone (812) 234-3788

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1477639623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S 6TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074214",
            "telephone_number": "812-232-0564",
            "fax_number": "812-242-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 S 3RD ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478074653",
            "telephone_number": "812-232-0564",
            "fax_number": "812-242-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FOUTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO/AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "812-232-0564"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "0176835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE INC",
            "identifier": "ZD3948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PALAMET",
            "identifier": "CA4474",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.