NPIMap

Organization Active NPI

Dunn Memorial Hospital

  • Anesthesiology Physician
  • Bedford, IN
National Provider Identifier
1710018056
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DUNN MEMORIAL HOSPITAL
Doing business as
Dunn Memorial Hospital - Physician Group
Practice address
1600 23Rd St
Bedford, IN 47421-4704
Phone
(812) 275-3331
Fax
(812) 276-1211
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Wayne Cooper
Title
Chief Executive Officer
Phone
(812) 276-1209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1600 23Rd St
Bedford, IN 47421-4704

Mailing address

1600 23Rd St
Bedford, IN 47421-4704
Phone (812) 275-3331

Other names 1

  • Dunn Memorial Hospital - Physician Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710018056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 23RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704",
            "telephone_number": "812-275-3331",
            "fax_number": "812-276-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704",
            "telephone_number": "812-275-3331",
            "fax_number": "812-276-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "812-276-1209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunn Memorial Hospital - Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

  • 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.