Organization Active NPI

Hoosier Family Practice P.C.

  • Specialist
  • Bedford, IN
National Provider Identifier
1770798043
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
02002493A Issued in IN
Legal business name
HOOSIER FAMILY PRACTICE P.C.
Practice address
2809 Washington Ave Ste R
Bedford, IN 47421-5310
Phone
(812) 277-8100
Fax
(812) 277-8734
NPI assigned
May 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Denett Styborski
Title
Office Manager
Phone
(812) 277-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 02002493A IN Primary

Addresses

Primary practice location

2809 Washington Ave Ste R
Bedford, IN 47421-5310

Mailing address

2809 Washington Ave Ste R
Bedford, IN 47421-5310
Phone (812) 277-8100

National Provider Directory

National Provider Directory

Locations

2809 Washington Ave
#R
Bedford, IN 47421
Phone (812) 277-8100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770798043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 WASHINGTON AVE STE R",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215310",
            "telephone_number": "812-277-8100",
            "fax_number": "812-277-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 WASHINGTON AVE STE R",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474215310",
            "telephone_number": "812-277-8100",
            "fax_number": "812-277-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOSIER FAMILY PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STYBORSKI",
        "authorized_official_first_name": "DENETT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-277-8100"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "02002493A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • 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.