Individual provider Active NPI

Paula J Market, MD

  • Family Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1730178906
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044318A Issued in IN
Practice address
4001 Wabash Ave Ste C
Terre Haute, IN 47803-1647
Phone
(812) 877-0506
Fax
(812) 877-1844
NPI assigned
Oct 19, 2005
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01044318A IN Primary

Addresses

Primary practice location

4001 Wabash Ave Ste C
Terre Haute, IN 47803-1647

Mailing address

2723 S 7TH St Ste a
Terre Haute, IN 47802-3558
Phone (812) 238-1730

Other identifiers 1

IdentifierTypeStateIssuer
200062000MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000774 IN Practitioner - Family Practice 8325118268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01044318AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. Family Medicine Current Accepting new patients
Providence Medical Group LLC CurrentSince Jun 11, 2012 Accepting new patients

Locations

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

111 W High St
Rockville, IN 47872
Phone (765) 569-2057

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2723 S 7th St
Ste A
Terre Haute, IN 47802
Phone (812) 238-1730

2723 S 7th St
Ste C
Terre Haute, IN 47802
Phone (812) 232-2936

4001 Wabash Ave
Ste C
Terre Haute, IN 47803
Phone (812) 877-0506

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1730178906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST STE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-238-1730",
            "fax_number": "812-242-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WABASH AVE STE C",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478031647",
            "telephone_number": "812-877-0506",
            "fax_number": "812-877-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKET",
        "first_name": "PAULA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044318A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.