NPIMap

Organization Active NPI

Ezdoctorsrx.Com Inc.

  • Family Medicine Physician
  • Vincennes, IN
National Provider Identifier
1639461692
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EZDOCTORSRX.COM INC.
Doing business as
EZ DOCTORS QUICK CARE
Practice address
1621 Willow St
Vincennes, IN 47591-4211
Phone
(812) 882-2400
Fax
(812) 882-2422
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Mrs. Lisa D Steel, CPC
Title
Office Manager
Phone
(812) 882-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1621 Willow St
Vincennes, IN 47591-4211

Mailing address

1621 Willow St
Vincennes, IN 47591-4211
Phone (812) 882-2400

Other names 1

  • EZ DOCTORS QUICK CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1621 Willow St
Vincennes, IN 47591
Phone (812) 882-2400

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1639461692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 WILLOW ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914211",
            "telephone_number": "812-882-2400",
            "fax_number": "812-882-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 WILLOW ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475914211",
            "telephone_number": "812-882-2400",
            "fax_number": "812-882-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZDOCTORSRX.COM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "STEEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-882-2400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZ DOCTORS QUICK CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vincennes, IN

Sources for this page

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