Foundations Family Medicine PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

01056407A Issued in IN

Legal business name

FOUNDATIONS FAMILY MEDICINE PC

Practice address

25 W Main St
Austin, IN 47102-1303

Phone

(812) 794-8100

Fax

(812) 794-8200

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William E Cooke, MD

Title

Director/Officer

Phone

(812) 794-8100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2842/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1720097322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "city": "AUSTIN",
            "state": "IN",
            "postal_code": "471021303",
            "telephone_number": "812-794-8100",
            "fax_number": "812-794-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W MAIN ST",
            "city": "AUSTIN",
            "state": "IN",
            "postal_code": "471021303",
            "telephone_number": "812-794-8100",
            "fax_number": "812-794-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "812-794-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IN",
            "license": "01056407A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200490500A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC0744",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Jean Cooke, MD
• William E Cooke Jr., M.D.
• Christopher Dewhurst, PSYD
• Kaitlin Renee Dunn, PA-C
• Shonita Flamion, LCSW
• Scott Gaffney, BA
• Genoa Healthcare LLC
• Kerry S. Goodin, D.D.S.
• Whitney Hall, NP
• Miranda R Hernly, APRN

• All providers in Austin, IN
• Multi-Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.