Athens Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ATHENS MEDICAL GROUP, INC

Practice address

1660 Lafayette Rd
100
Crawfordsville, IN 47933-4601

Phone

(765) 359-1660

Fax

(765) 359-2233

NPI assigned

Aug 21, 2006

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa L Daniel, MBA

Title

Ex Director

Phone

(765) 364-5360

Specialties & licenses 5

Addresses

Locations

Practitioners 41

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.

• Jamie M Barton, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Crawfordsville, IN
  • NPI 1093747123
  NPD (past)
• David L Brown, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1871536375
  NPD (past)
• Scott K Douglas, MD

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1659318194
  NPD (past)
• Laura O Dugan, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1881670545
  NPD (past)
• Joseph Adam Furr, MD

  • Family Medicine Physician
  • Rockville, IN
  • NPI 1003994070
  NPD (past)
• Roger B Gandionco, MD

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1851553796
  NPD (past)
• Mary Glass, MD

  • Internal Medicine Physician
  • Crawfordsville, IN
  • NPI 1518921741
  NPD (past)
• Donald R Hardman, M.D.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1366478430
  NPD (past)
• Mindy M. Ho, M.D.

  • Surgery Physician
  • Carmel, IN
  • NPI 1346496932
  NPD (past)
• Clifford F Hornback, MD

  • Orthopaedic Surgery Physician
  • Crawfordsville, IN
  • NPI 1538106778
  NPD (past)
• Cheryl A Leech, APRN BC

  • Adult Health Nurse Practitioner
  • Crawfordsville, IN
  • NPI 1053307801
  NPD (past)
• William H Leech, MD

  • Family Medicine Physician
  • Crawfordsville, IN
  • NPI 1255327946
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1831205210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 LAFAYETTE RD",
            "address_2": "100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479334601",
            "telephone_number": "765-359-1660",
            "fax_number": "765-359-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 LAFAYETTE RD",
            "address_2": "100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479334601",
            "telephone_number": "765-359-1660",
            "fax_number": "765-359-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EX DIRECTOR",
        "authorized_official_telephone_number": "765-364-5360",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apex Podiatry, Inc. (Crawfordsville Foot and Ankle, LLC)
• Samantha Asperger, RBT
• Assisted Living Concepts Inc (Whitlock House)
• Athens Medical Group LLC
• Athens Medical Group, Inc (Athens Orthopedic and SPorts Medicine)
• Athens Medical Group, LLC (Athens Orthopedics and Sports Medicine)
• Atlantic Herring Inpatient Services LLC
• Matthew Joseph Bachman, DDS
• Becka I Bannon, PA
• Saira Bano, M.D.

• Family Medicine Physician in Crawfordsville, IN
• Providers in Crawfordsville, 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 Oct 25, 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.