Southern Indiana Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01032854A Issued in IN

Legal business name

SOUTHERN INDIANA PRIMARY CARE, LLC

Practice address

410 S Chestnut St
Seymour, IN 47274-2370

Phone

(812) 378-7000

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Richard Kramer

Title

Vice President Finance

Phone

(812) 378-7000

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1619224979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S CHESTNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742370",
            "telephone_number": "812-378-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S CHESTNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742370",
            "telephone_number": "812-378-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "812-378-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032854A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "1040351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Snow, FNP
• Lisa Marie Lindsay Snow, DO
• Allison Snyder, RBT
• Ahmad Soliman, MD
• South Central Indiana Radiology Consultants, P.C.
• Southern Indiana Womens Center, LLC
• Amanda Marie Souza, DO
• Christine Nichole Sova Shaver
• Christopher F Spalding, MD
• Antonio D. Spates

• Family Medicine Physician in Seymour, IN
• Providers in Seymour, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.