Shelby County Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHELBY COUNTY FAMILY MEDICINE

Practice address

30 W Rampart St
Suite 210
Shelbyville, IN 46176-8897

Phone

(317) 398-0121

Fax

(317) 421-2016

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Horner

Title

Ceo

Phone

(317) 392-3211

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Major Hospital

  • Skilled Nursing Facility
  • Greensburg, IN
  • NPI 1215207584

  Member Of

  NPD member
• Medworks Inc

  • Community/Retail Pharmacy
  • Shelbyville, IN
  • NPI 1710070156

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801995469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WEST RAMPART STREET",
            "address_2": "SUITE 210",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768897",
            "telephone_number": "317-398-0121",
            "fax_number": "317-421-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST",
            "address_2": "SUITE 210",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768897",
            "telephone_number": "317-398-0121",
            "fax_number": "317-421-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-392-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100224650A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "741720",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth G Scott, MD
• Lauren Marie Searles, PA-C
• Shares, Inc
• Jennifer Joy Shaul, FNP-BC
• Shelby Community Health Center
• Shelby County Health Department
• Shelby Eastern Schools
• Shelby Management Corp
• Shelby Medical Center, Inc.
• Shelby Pain and Spine

• Family Medicine Physician in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.