Southeast Family Physicians, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTHEAST FAMILY PHYSICIANS, PC

Practice address

5136 E Stop 11 Rd
Suite 30
Indianapolis, IN 46237-6300

Phone

(317) 887-1060

Fax

(317) 887-1460

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Janet A Russler

Title

Practice Manager

Phone

(317) 887-1060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1811071970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 E STOP 11 RD",
            "address_2": "SUITE 30",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376300",
            "telephone_number": "317-887-1060",
            "fax_number": "317-887-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 E STOP 11 RD",
            "address_2": "SUITE 30",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376300",
            "telephone_number": "317-887-1060",
            "fax_number": "317-887-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST FAMILY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "RUSSLER",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-887-1060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Emerson Surgery Center, LLC
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• South Indy MRI and Rehab Services
• Southeast Anesthesiologists, Inc.
• Southeast Dental Group
• Southeast Neighborhood School of Excellence, Inc.
• Southeast Surgery Center LLC
• Brooke S. Southerland, PA-C
• Jara Lynn Southerland, NP
• Southern Hospitality Incorporated

• Specialist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.