Active NPI
PMP Associates P C
- Ophthalmology Physician
- Highland, IN
National Provider Identifier
1710166343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01028868A
- Legal business name
- PMP ASSOCIATES P C
- Practice address
- 8219 Kennedy Ave
Highland, IN 46322-1131 - Phone
- (219) 972-3300
- Fax
- (219) 972-3400
- NPI assigned
- Oct 31, 2007
- Organization subpart
- Yes
- Parent organization
- PMP ASSOCIATES P C
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Promila Mehta-Paul, M.D
- Title
- President
- Phone
- (219) 972-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01028868A | IN | Primary |
Addresses
Primary practice location
8219 Kennedy Ave
Highland, IN 46322-1131
Mailing address
8219 Kennedy Ave
Highland, IN 46322-1131
Phone (219) 972-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100158410A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
8219 Kennedy Ave
Highland, IN 46322
Phone (219) 838-3141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1710166343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8219 KENNEDY AVE",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463221131",
"telephone_number": "219-972-3300",
"fax_number": "219-972-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8219 KENNEDY AVE",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463221131",
"telephone_number": "219-972-3300",
"fax_number": "219-972-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PMP ASSOCIATES P C",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PMP ASSOCIATES P C",
"enumeration_date": "2007-10-31",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "MEHTA-PAUL",
"authorized_official_first_name": "PROMILA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-972-3300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IN",
"license": "01028868A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100158410A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.