NPIMap

Organization Active NPI

Associated Physicians & Surgeons Clinic, LLC

  • Urology Physician
  • Linton, IN
National Provider Identifier
1477643120
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Practice address
RR 1 Box 994
Linton, IN 47441-9496
Phone
(812) 232-0564
Fax
(812) 242-3848
NPI assigned
Oct 13, 2006
Last updated
Nov 6, 2007By 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 Nov 6, 2007

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

RR 1 Box 994
Linton, IN 47441-9496

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
0176835OtherUS DEPT OF LABOR
ZD3948OtherOPTIMUM CHOICE INC

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

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1477643120",
    "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": "RR 1 BOX 994",
            "city": "LINTON",
            "state": "IN",
            "postal_code": "474419496",
            "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": "2006-10-13",
        "last_updated": "2007-11-06",
        "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": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.