North Central Indiana Medical Clinic LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

NORTH CENTRAL INDIANA MEDICAL CLINIC LLC

Practice address

112 S Main St
Milford, IN 46542-3006

Phone

(574) 832-6246

NPI assigned

Feb 26, 2020

Last updated

Aug 6, 2020By 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

Michelle WilsonNPI 1437039237

Title

Practice Manager

Phone

(574) 832-6246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Gayle J Borkowski, MD

  • Obstetrics & Gynecology Physician
  • Milford, IN
  • NPI 1902890718
  Medicare reassignment Care Compare group NPD
• Rachelle L Crowder, MD

  • Family Medicine Physician
  • Milford, IN
  • NPI 1174593867
  Medicare reassignment Care Compare group NPD
• Kimberly Ann Senders, RN-BSN, NP

  • Family Nurse Practitioner
  • Milford, IN
  • NPI 1790499069
  Medicare reassignment Care Compare group NPD
• Michelle Wilson, CST, CSFA

  • Surgical Assistant
  • Milford, IN
  • NPI 1437039237
  NPD Authorized official

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1730713017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MILFORD",
            "state": "IN",
            "postal_code": "465420247",
            "telephone_number": "574-832-6246",
            "fax_number": "574-832-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST",
            "city": "MILFORD",
            "state": "IN",
            "postal_code": "465423006",
            "telephone_number": "574-832-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL INDIANA MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "574-832-6246"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca J. Johnson, DO
• Laura Kiefer, LPTA
• Heather J Lechlitner, RPH
• Jessica Mae Martin, MPT
• Milford Family Physicians, LLP
• Pillbox Pharmacies, Inc. (Milford Pill Box)
• Kimberly Ann Senders, RN-BSN, NP
• S Douglas Strycker, M.D.
• Transcending Caregiving Services LLC
• Warsaw Health System, LLC (Higbee Street Healthcare)

• Gynecology Physician in Milford, IN
• Providers in Milford, IN by specialty
• Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.