Southern Indiana Neurology Associates, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

23576 Issued in IN

Legal business name

SOUTHERN INDIANA NEUROLOGY ASSOCIATES, INC.

Practice address

1035 Wall St
Suite 207
Jeffersonville, IN 47130-3612

Phone

(812) 282-1351

Fax

(812) 283-5758

NPI assigned

Sep 27, 2006

Last updated

Feb 14, 2012By 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

Dr. Victor P. Matibag, M.D.

Title

President

Phone

(812) 282-1351

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Olegario J Ignacio Jr., MD

  • Specialist
  • Jeffersonville, IN
  • NPI 1063407708
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1619068194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 WALL ST",
            "address_2": "SUITE 207",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303612",
            "telephone_number": "812-282-1351",
            "fax_number": "812-283-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 WALL ST",
            "address_2": "SUITE 207",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303612",
            "telephone_number": "812-282-1351",
            "fax_number": "812-283-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA NEUROLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "MATIBAG",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-282-1351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "23576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100075110",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SN Kentuckiana Rehab, LLC (KORT Physical Therapy)
• Angela Turpin Snyder
• Krystal Lee Snyder
• Trevor M Soergel, MD
• Southern Home Care (VNA Nazareth Homecare - Indiana)
• Southern Indiana Oral and Maxillofacial Surgery P.S.C.
• Southern Indiana Pediatrics P.S.C.
• Southern Indiana Treatment Center Inc.
• Marlowe Michelle Spalding, APRN
• Melanie Jane Spann

• Specialist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.