Columbus Regional Health Physicians, LLC
Organization Active NPI Obstetrics & Gynecology Physician · Columbus, IN
NPI 1508237272 · NPPES record last updated Oct 23, 2015
Key facts
- NPI
- 1508237272
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC
- Practice address
- 2450 Northpark Dr
Suite a
Columbus, IN 47203-2292 - Phone
- (812) 376-3311
- NPI assigned
- Oct 7, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas A Sonderman, M.D.
- Title
- Cmo
- Phone
- (812) 334-8958
Other NPIs on the same Medicare enrollment 15
Practitioners 1
-
Raymond Lee Kiser, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151211000054 | IN | Part B Supplier - Clinic/Group Practice | 1052612314 |
Receives reassigned benefits from 259 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, IN; Seymour, IN; North Vernon, IN; Greensburg, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
2450 Northpark Dr
Suite a
Columbus, IN 47203-2292
Mailing address
3875 W Presidential Way
Edinburgh, IN 46124-9058
Phone (812) 373-3025
Other providers in Columbus, IN
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
- Columbus Regional Health Physicians, LLC
All providers in Columbus, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.