NPIMap

Organization Active NPI

Old Schoolhouse Pediatrics Inc

  • Pediatrics Physician
  • Bargersville, IN
National Provider Identifier
1720180862
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
OLD SCHOOLHOUSE PEDIATRICS INC
Practice address
3011 W Smokey Row Rd
Ste. a
Bargersville, IN 46106-8803
Phone
(317) 535-0453
Fax
(317) 535-0467
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Mr. James R. Baurley
Title
Practice Manager
Phone
(317) 535-0453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3011 W Smokey Row Rd
Ste. a
Bargersville, IN 46106-8803

Mailing address

3011 W Smokey Row Rd
Ste. a
Bargersville, IN 46106-8803
Phone (317) 535-0453

National Provider Directory

National Provider Directory

Locations

3011 W Smokey Row Rd
Ste A
Bargersville, IN 46106
Phone (317) 535-0453

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1720180862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W SMOKEY ROW RD",
            "address_2": "STE. A",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461068803",
            "telephone_number": "317-535-0453",
            "fax_number": "317-535-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W SMOKEY ROW RD",
            "address_2": "STE. A",
            "city": "BARGERSVILLE",
            "state": "IN",
            "postal_code": "461068803",
            "telephone_number": "317-535-0453",
            "fax_number": "317-535-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD SCHOOLHOUSE PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BAURLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-535-0453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bargersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.