Organization Active NPI

Advanced Internal Medicine of Southern Indiana

  • Internal Medicine Physician
  • Sellersburg, IN
National Provider Identifier
1821270158
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01056931A Issued in IN
Legal business name
ADVANCED INTERNAL MEDICINE OF SOUTHERN INDIANA
Practice address
110 S New Albany Ave
Sellersburg, IN 47172-1540
Phone
(812) 248-9350
Fax
(812) 248-9351
NPI assigned
Nov 28, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Dr. Robert Neil Elliott, M.D.
Title
Physician/Owner
Phone
(812) 248-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01056931A IN Primary

Addresses

Primary practice location

110 S New Albany Ave
Sellersburg, IN 47172-1540

Mailing address

110 S New Albany Ave
Sellersburg, IN 47172-1540
Phone (812) 248-9350

Other identifiers 1

IdentifierTypeStateIssuer
218920OtherINMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

110 S New Albany St
Sellersburg, IN 47172
Phone (812) 246-1835

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1821270158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S NEW ALBANY AVE",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721540",
            "telephone_number": "812-248-9350",
            "fax_number": "812-248-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S NEW ALBANY AVE",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721540",
            "telephone_number": "812-248-9350",
            "fax_number": "812-248-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERNAL MEDICINE OF SOUTHERN INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "812-248-9350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01056931A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "218920",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.