Logansport Family Health Care PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004044A Issued in IN

Legal business name

LOGANSPORT FAMILY HEALTH CARE PC

Doing business as

Sara Catherine Kirkwood

Practice address

1201 Michigan Avenue
Suite 270
Logansport, IN 46947

Phone

(574) 722-4921

Fax

(574) 739-0520

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cory S Neumann, M.D.

Title

President of Corporation

Phone

(574) 722-4921

Specialties & licenses 1

Addresses

Other names 1

• Sara Catherine Kirkwood Doing business as

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1912097197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVENUE",
            "address_2": "SUITE 270",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471530",
            "telephone_number": "574-722-4921",
            "fax_number": "574-739-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVENUE",
            "address_2": "SUITE 270",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "46947",
            "telephone_number": "574-722-4921",
            "fax_number": "574-739-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGANSPORT FAMILY HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "574-722-4921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004044A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara Catherine Kirkwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Logansport, IN
• Providers in Logansport, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.