Individual provider Active NPI

James P Poirier, M.D.

  • Family Medicine Physician
  • Loogootee, IN
National Provider Identifier
1770670440
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01031405 Issued in IN
Practice address
105 Cooper St
Loogootee, IN 47553-2223
Phone
(812) 295-2812
Fax
(812) 295-3726
NPI assigned
Oct 6, 2006
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01031405 IN Primary

Addresses

Primary practice location

105 Cooper St
Loogootee, IN 47553-2223

Mailing address

PO Box 1028
Jasper, IN 47547-1028

Other identifiers 1

IdentifierTypeStateIssuer
100175820MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000995 IN Practitioner - Family Practice 7618091042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, shared by 8 NPIs, 140 clinicians

Practice addresses (Care Compare)

105 Cooper St
Loogootee, IN 47553-2223
Phone (812) 295-2812

229 High St
Shoals, IN 47581-5501
Phone (812) 247-2733

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01031405INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Family Medicine Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Aug 1, 2003 Accepting new patients
Deaconess Memorial Medical Center, Inc Family Medicine CurrentSince Aug 1, 2003 Accepting new patients
Deaconess Memorial Medical Center Inc Family Medicine CurrentSince Dec 1, 2018 Accepting new patients

Locations

679 S State Road 145
French Lick, IN 47432
Phone (812) 481-7200

751 W 9th St
Jasper, IN 47546
Phone (812) 482-7474

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

105 Cooper St
Loogootee, IN 47553
Phone (812) 295-2812

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1770670440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475471028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COOPER ST",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475532223",
            "telephone_number": "812-295-2812",
            "fax_number": "812-295-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01031405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100175820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loogootee, IN

Sources for this page

Verify at the official NPI Registry.