NPIMap

Organization Active NPI

Community Hospital of Anderson & Madison County

  • Rheumatology Physician
  • Anderson, IN
National Provider Identifier
1891922639
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY
Practice address
1210A Medical Arts Blvd
Suite 200
Anderson, IN 46011-3437
Phone
(765) 298-4050
Fax
(765) 298-4960
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
John B Harris
Title
Cfo
Phone
(765) 298-5286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1210A Medical Arts Blvd
Suite 200
Anderson, IN 46011-3437

Mailing address

1210A Medical Arts Blvd
Suite 200
Anderson, IN 46011-3437
Phone (765) 298-4050

Other identifiers 1

IdentifierTypeStateIssuer
200949420AMedicaidIN

Other names 1

  • Community Rheumatology of Anderson Doing business as

National Provider Directory

National Provider Directory

Locations

1210 Medical Arts Blvd
#2
Anderson, IN 46011

1210 Medical Arts Blvd
#A
Anderson, IN 46011
Phone (765) 298-4050

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1891922639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210A MEDICAL ARTS BLVD",
            "address_2": "SUITE 200",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113437",
            "telephone_number": "765-298-4050",
            "fax_number": "765-298-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210A MEDICAL ARTS BLVD",
            "address_2": "SUITE 200",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113437",
            "telephone_number": "765-298-4050",
            "fax_number": "765-298-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITAL OF ANDERSON & MADISON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "765-298-5286"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200949420A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Rheumatology of Anderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.