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

Last updated

Jul 1, 2013By the provider in NPPES

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, MDNPI 1699749770

Title

Director/Officer

Phone

(812) 794-8100

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

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

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.

• William E Cooke Jr., M.D.

  • Family Medicine Physician
  • Austin, IN
  • NPI 1699749770
  Authorized official Same address or phone

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": [],
    "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

• Multi-Specialty Clinic/Center in Austin, IN
• Providers in Austin, IN by specialty
• 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.