Organization Active NPI

Kids Care, P.C.

  • Legal Medicine
  • Lawrenceburg, IN
National Provider Identifier
1902080294
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
01042855 Issued in IN
Legal business name
KIDS CARE, P.C.
Practice address
202 Walnut St
Lawrenceburg, IN 47025-1840
Phone
(812) 539-2142
Fax
(812) 539-3920
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Bashar M Bouso, M.D.
Title
Owner
Phone
(812) 539-2142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 01042855 IN Primary

Addresses

Primary practice location

202 Walnut St
Lawrenceburg, IN 47025-1840

Mailing address

202 Walnut St
Lawrenceburg, IN 47025-1840
Phone (812) 539-2142

National Provider Directory

National Provider Directory
Tax ID family
Kids Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

202 Walnut St
Lawrenceburg, IN 47025
Phone (812) 539-2142

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1902080294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WALNUT ST",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251840",
            "telephone_number": "812-539-2142",
            "fax_number": "812-539-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WALNUT ST",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470251840",
            "telephone_number": "812-539-2142",
            "fax_number": "812-539-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "BOUSO",
        "authorized_official_first_name": "BASHAR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-539-2142",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IN",
            "license": "01042855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, IN

Sources for this page

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