Athens Medical Group, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ATHENS MEDICAL GROUP, LLC

Doing business as

Athens Orthopedics and Sports Medicine

Practice address

1702 Lafayette Rd
Crawfordsville, IN 47933-1033

Phone

(765) 362-4400

Fax

(765) 364-1797

NPI assigned

Sep 9, 2009

Last updated

Sep 9, 2009By 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

Mr. Terrence E Wilson

Title

Ceo

Phone

(765) 423-6161

Specialties & licenses 1

Addresses

Other names 1

• Athens Orthopedics and Sports Medicine Doing business as

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1609109719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479334601",
            "telephone_number": "765-364-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331033",
            "telephone_number": "765-362-4400",
            "fax_number": "765-364-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-423-6161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Orthopedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Asperger, RBT
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• Athens Medical Group LLC
• Athens Medical Group, Inc (Athens Orthopedic and SPorts Medicine)
• Athens Medical Group, Inc
• Atlantic Herring Inpatient Services LLC
• Matthew Joseph Bachman, DDS
• Becka I Bannon, PA
• Saira Bano, M.D.
• Aimee Elizabeth Barnett, N.P.

• Orthopaedic Surgery Physician in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.