NPIMap

Organization Active NPI

Community Hospitals of Indiana Inc

Doing business as Anderson OBGYN Care LLC

  • Obstetrics & Gynecology Physician
  • Anderson, IN
National Provider Identifier
1912161688
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01053870A Issued in IN
Legal business name
COMMUNITY HOSPITALS OF INDIANA INC
Doing business as
Anderson OBGYN Care LLC
Practice address
1601 Medical Arts Blvd
Suite 203
Anderson, IN 46011-3458
Phone
(765) 298-4470
Fax
(765) 298-4965
NPI assigned
Jul 11, 2008
Last updated
Oct 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Mr. Jeffery Kirkham
Title
Cfo
Phone
(317) 355-5930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 01053870A IN Primary

Addresses

Primary practice location

1601 Medical Arts Blvd
Suite 203
Anderson, IN 46011-3458

Mailing address

1601 Medical Arts Blvd
Suite 203
Anderson, IN 46011-3458
Phone (765) 298-4470

Other names 1

  • Anderson OBGYN Care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1912161688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL ARTS BLVD",
            "address_2": "SUITE 203",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113458",
            "telephone_number": "765-298-4470",
            "fax_number": "765-298-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MEDICAL ARTS BLVD",
            "address_2": "SUITE 203",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460113458",
            "telephone_number": "765-298-4470",
            "fax_number": "765-298-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-5930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01053870A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson OBGYN Care LLC",
            "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 27, 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.