Vincennes Medical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01046335A Issued in IN

Legal business name

VINCENNES MEDICAL CORP

Practice address

700 Willow St
Ste 201
Vincennes, IN 47591-1028

Phone

(812) 882-0023

Fax

(812) 882-0073

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Reva Sharma, M.D.NPI 1558414870

Title

M.D.

Phone

(812) 882-0023

Specialties & licenses 1

Addresses

Practitioners 2

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

• Reva Sharma, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1558414870
  NPD (past) Authorized official
• Subhash C Sharma, M.D.

  • Hematology & Oncology Physician
  • Greenwood, IN
  • NPI 1528111903
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750421129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WILLOW ST",
            "address_2": "STE 201",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911028",
            "telephone_number": "812-882-0023",
            "fax_number": "812-882-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WILLOW ST",
            "address_2": "STE 201",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911028",
            "telephone_number": "812-882-0023",
            "fax_number": "812-882-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENNES MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "REVA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "812-882-0023",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046335A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincennes Chiropractic, Inc PC
• Vincennes City Fire Department
• Vincennes Community Schools
• Vincennes Family Health Care LLC
• Vincennes Medical & Chiropractic Group
• Vincennes Neurosurgical Consulting LLC
• Vincennes Ocular Centre, Inc.
• Vincennes Operator, LLC
• Vincennes Orthopaedic Surgery Clinic, Inc
• Vincennes Orthopaedic Surgery Clinic, Inc.

• Internal Medicine Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.