Indiana Physician Management-Clay, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

INDIANA PHYSICIAN MANAGEMENT-CLAY, LLC

Practice address

1206 E National Ave
Brazil, IN 47834-2718

Phone

(317) 802-3113

Fax

(317) 870-0499

NPI assigned

Jan 11, 2011

Last updated

Jun 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stewart Bick, MD

Title

President

Phone

(317) 338-5053

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Mark Alan Collins, MD

  • Emergency Medicine Physician
  • Danville, IN
  • NPI 1306008321
  NPD (past)
• Thomas Connor, MD

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1659451961
  NPD (past)
• Alberto L. Delgado, M.D.

  • Emergency Medicine Physician
  • Normal, IL
  • NPI 1235122813
  NPD (past)
• Shabaz Gill, MD

  • Family Medicine Physician
  • Springfield, IL
  • NPI 1598911281

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1578868220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773009",
            "telephone_number": "317-802-3113",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E NATIONAL AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342718",
            "telephone_number": "317-802-3113",
            "fax_number": "317-870-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA PHYSICIAN MANAGEMENT-CLAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "BICK",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-338-5053",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201012070",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oscar Jerome III Hormillosa, PT
• Gabrielle Horrall, OTR
• Lynn D. Hostetler, R.PH.
• Paul N Houston, MD
• Indiana Emergency Physicians L L P
• Internal Medicine Practice, LLC
• Craig Alan Johnson, D.O.
• Deanna Jones
• Christopher Scott Kaufman, PHARM.D
• Kenneth W Michael (UGoWeGo Transport)

• Emergency Medicine Physician in Brazil, IN
• Providers in Brazil, 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 10, 2011; 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.