Southern Indiana General Surgery Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01046182 Issued in IN

Legal business name

SOUTHERN INDIANA GENERAL SURGERY INC

Practice address

3231 Mitchell Rd
Bedford, IN 47421

Phone

(812) 279-9771

Fax

(812) 275-8554

NPI assigned

Apr 6, 2007

Last updated

Jan 12, 2009By 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

Mrs. Sandy Lynn Burnette

Title

Office Manager

Phone

(812) 279-9771

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Alexander Mathew, MD

  • Surgery Physician
  • Bedford, IN
  • NPI 1043240781
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1740302967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "address_2": "3231 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "47421",
            "telephone_number": "812-279-9771",
            "fax_number": "812-275-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 MITCHELL RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "47421",
            "telephone_number": "812-279-9771",
            "fax_number": "812-275-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA GENERAL SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-279-9771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01046182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200907400A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Smoot, O.D.
• Ray T Snapp, DDS
• Alexxis Ryan Snyder, CNA
• George W Sorrells Jr., MD
• Southern Indiana Community Health Care, Inc
• Southern Indiana Work Team LLC
• Jennifer L. Southern, PTA
• James Ira Sowders, OD
• Amy E Spires, PT
• Tricia Jayne Spoonmore, FNP-C

• Surgery Physician in Bedford, IN
• Providers in Bedford, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.