Southern Indiana Diabetes and Endocrinology PC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

SOUTHERN INDIANA DIABETES AND ENDOCRINOLOGY PC

Practice address

2019 State St
New Albany, IN 47150-4921

Phone

(812) 949-5700

Fax

(812) 949-5979

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Vasti Broadstone, MD

Title

Physician

Phone

(812) 949-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph C. Banis Jr., MD

  • Plastic and Reconstructive Surgery Physician
  • Louisville, KY
  • NPI 1093717274
  NPD (past)
• Michael Krueger, MD

  • Orthopaedic Surgery Physician
  • Lakeland, FL
  • NPI 1235395153
  NPD (past)
• David J. Zoeller, MD

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1194708776
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1790843829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 FOX HUNTERS PT",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509251",
            "telephone_number": "812-949-5700",
            "fax_number": "812-949-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504921",
            "telephone_number": "812-949-5700",
            "fax_number": "812-949-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA DIABETES AND ENDOCRINOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "BROADSTONE",
        "authorized_official_first_name": "VASTI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "812-949-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200332950A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65935603",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Solomon, RPH
• Solutions Counseling & Wellness Center, LLC.
• Southern Indiana Anesthesia Consultants, PLLC
• Southern Indiana Cardiology Associates LLC
• Southern Indiana Chiropractic & Rehabilitation Center, P.S.C.
• Southern Indiana Endoscopy, LLC
• Southern Indiana Rehab Hospital
• Southern Indiana Rehabilitation Hospital
• Southern Indiana Rehabilitation Hospital
• Southern Indiana Rehabilitation Hospital

• Endocrinology, Diabetes & Metabolism Physician in New Albany, IN
• Providers in New Albany, IN by specialty
• Endocrinology, Diabetes & Metabolism Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.