Active NPI
CH Specialty Services in LLC
- Internal Medicine Physician
- Corydon, IN
National Provider Identifier
1497458731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CH SPECIALTY SERVICES IN LLC
- Practice address
- 315 Country Club Rd
Corydon, IN 47112-1751 - Phone
- (337) 408-0797
- NPI assigned
- Mar 24, 2023
- Last updated
- Mar 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Howard
- Title
- Sr VP of Administrative Services
- Phone
- (337) 408-0797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
315 Country Club Rd
Corydon, IN 47112-1751
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 408-0797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 26
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Richmond, IN
- NPI 1649558024
-
- Family Nurse Practitioner
- Carmel, IN
- NPI 1982359881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1497458731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 JOHNSTON ST STE 205",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035345",
"telephone_number": "337-408-0797",
"fax_number": "337-943-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 COUNTRY CLUB RD",
"city": "CORYDON",
"state": "IN",
"postal_code": "471121751",
"telephone_number": "337-408-0797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CH SPECIALTY SERVICES IN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-24",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "SR VP OF ADMINISTRATIVE SERVICES",
"authorized_official_telephone_number": "337-408-0797"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corydon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.