The Huntingburg Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01028935 Issued in IN

Legal business name

THE HUNTINGBURG CLINIC

Practice address

214 E 17TH St
Huntingburg, IN 47542-9050

Phone

(812) 683-3612

Fax

(812) 683-2819

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary L Burgeson, M.D.NPI 1972565026

Title

Partner

Phone

(812) 683-3612

Specialties & licenses 1

Addresses

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.

• Mary Burgeson, M.D.

  • Family Medicine Physician
  • Huntingburg, IN
  • NPI 1972565026
  Authorized official Same address or phone

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649314402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E 17TH ST",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429050",
            "telephone_number": "812-683-3612",
            "fax_number": "812-683-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 17TH ST",
            "city": "HUNTINGBURG",
            "state": "IN",
            "postal_code": "475429050",
            "telephone_number": "812-683-3612",
            "fax_number": "812-683-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HUNTINGBURG CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGESON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "812-683-3612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01028935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Josephs Hospital of Huntingburg Inc (St Josephs Home Health)
• St Josephs Hospital of Huntingburg Inc (St Josephs Hospice)
• St. Joseph's Hospital
• Jordan M Sutton, DPT
• Harry Louis Switzer, DDS
• The Waters of Huntingburg, LLC
• The Wellness Center of Indiana, LLC
• Charles Albert Tollett Jr., MD
• Transition Home Health Services, LLC
• Transitional Services Sub, LLC

• Family Medicine Physician in Huntingburg, IN
• Providers in Huntingburg, 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 22, 2020; 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.