Active NPI
Jerry L. Like, D.O.
- Family Medicine Physician
- Elberfeld, IN
National Provider Identifier
1760657407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02000254
- Legal business name
- JERRY L. LIKE, D.O.
- Practice address
- 110 W. Sycamore St.
Elberfeld, IN 47613-0188 - Phone
- (812) 983-4611
- NPI assigned
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry L Like, D.O.
- Title
- Owner
- Phone
- (812) 983-4611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02000254 | IN | Primary |
Addresses
Primary practice location
110 W. Sycamore St.
Elberfeld, IN 47613-0188
Mailing address
110 W. Sycamore
P.O. Box 188
Elberfeld, IN 47613-0188
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1760657407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 W. SYCAMORE",
"address_2": "P.O. BOX 188",
"city": "ELBERFELD",
"state": "IN",
"postal_code": "476130188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W. SYCAMORE ST.",
"city": "ELBERFELD",
"state": "IN",
"postal_code": "476130188",
"telephone_number": "812-983-4611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERRY L. LIKE, D.O.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "LIKE",
"authorized_official_first_name": "JERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-983-4611",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "02000254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elberfeld, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.