Physician Correctional USA (in), LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

PHYSICIAN CORRECTIONAL USA (IN), LLC

Practice address

3500 N Harlan Ave
Evansville, IN 47711-2336

Phone

(812) 421-6200

NPI assigned

Mar 26, 2026

Last updated

Mar 26, 2026By 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

James Richard Martin, MPSA, CCHP

Title

Chief Operating Officer

Phone

(812) 499-3023

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1770422719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SE 17TH ST STE 408",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161740",
            "telephone_number": "812-499-3023",
            "fax_number": "207-419-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N HARLAN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477112336",
            "telephone_number": "812-421-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN CORRECTIONAL USA (IN), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "812-499-3023",
        "authorized_official_credential": "MPSA, CCHP"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Evansville, IN
• Providers in Evansville, IN by specialty
• Contractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.