Indiana West, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

50003589 Issued in IN

Legal business name

INDIANA WEST, PC

Practice address

4601 S 7TH St
Terre Haute, IN 47802-4522

Phone

(812) 232-6673

Fax

(812) 232-1519

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Brenda R Stallcop

Title

Corporate Manager

Phone

(812) 232-6673

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1487640140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024522",
            "telephone_number": "812-232-6673",
            "fax_number": "812-232-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024522",
            "telephone_number": "812-232-6673",
            "fax_number": "812-232-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA WEST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "STALLCOP",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "812-232-6673",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "50003589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana Medical Services, LLC (Body In Motion)
• Indiana Medical Specialists, Inc
• Indiana MRI of Terre Haute, LLC
• Indiana State University
• Indiana State University (ISU Psychology Clinic-Faculty Practice Svcs)
• Indianapolis Vamc
• Indianapolis Vamc
• Alison Hastey Ingalsbe, ATC, CSCS
• Janis C Ingebrigtsen, MD
• Injury Provider Network, LLC

• Specialist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.