Unity Physician Group, PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

UNITY PHYSICIAN GROUP, PC

Practice address

1155 W 3Rd St
Bloomington, IN 47404-5016

Phone

(812) 336-1690

Fax

(812) 349-1311

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Bishop

Title

Ceo

Phone

(812) 336-1690

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1558314260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4777",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474024777",
            "telephone_number": "812-336-1690",
            "fax_number": "812-349-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045016",
            "telephone_number": "812-336-1690",
            "fax_number": "812-349-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY PHYSICIAN GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-336-1690",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100143140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taegyu Um, MD
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• Melanna Underwood
• Debra Susan Unger, MSW, LCSW, ACSW
• US Medical & Business Consultants LLC
• Amy L Vagedes, MA, CCC-SLP
• Joshua Vail
• Karyn K Valentine, RD
• Erika Vallandingham, SLP

• Emergency Medicine Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.