Active NPI
Physicians Medical Center LLC
Doing business as PMC Urgent Care & Occupational Medicine
- General Practice Physician
- New Albany, IN
National Provider Identifier
1770084261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PHYSICIANS MEDICAL CENTER LLC
- Doing business as
- PMC Urgent Care & Occupational Medicine
- Practice address
- 2108 State St
New Albany, IN 47150-4923 - Phone
- (812) 670-4305
- Fax
- (812) 725-1210
- NPI assigned
- Feb 21, 2018
- Last updated
- Feb 21, 2018
- 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
- Rebecca Henry
- Title
- Credentialing Specialist
- Phone
- (812) 590-6936
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| General Practice Physician | 208D00000X | NU | Primary | |
| Urgent Care Clinic/Center | 261QU0200X | NU | ||
| Occupational Medicine Clinic/Center | 261QX0100X | NU | ||
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
2108 State St
New Albany, IN 47150-4923
Mailing address
3626 Grant Line Rd Ste 205
New Albany, IN 47150-2584
Phone (812) 590-6936
Other names 1
- PMC Urgent Care & Occupational Medicine
National Provider Directory
National Provider DirectoryLocations
3626 Grant Line Rd
Ste 205
New Albany, IN 47150
Phone (502) 439-6180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519171200000",
"number": "1770084261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 GRANT LINE RD STE 205",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502584",
"telephone_number": "812-590-6936",
"fax_number": "812-913-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 STATE ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504923",
"telephone_number": "812-670-4305",
"fax_number": "812-725-1210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A",
"authorized_official_last_name": "HENRY",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "812-590-6936"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PMC Urgent Care & Occupational Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.