Bhanushanker A Thaker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01028342 Issued in IN

Practice address

930 Spring St
Jeffersonville, IN 47130

Phone

(812) 288-6660

Fax

(812) 283-5975

NPI assigned

Jul 19, 2006

Last updated

Sep 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Norton Clark Physician Practices, LLC

  • Internal Medicine Physician
  • Clarksville, IN
  • NPI 1083098651

  Family Medicine

  Medicare reassignment NPD
• Norton Clark Physician Practices, LLC

  dba Norton Clark Physician Practices

  • Urgent Care Clinic/Center
  • Sellersburg, IN
  • NPI 1063896637
  NPD
• Vipul D Brahmbhatt M.D.,PC

  • Family Medicine Physician
  • Jeffersonville, IN
  • NPI 1821126970
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1922027887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32W RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IN",
            "postal_code": "606860032",
            "telephone_number": "812-949-0845",
            "fax_number": "812-949-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-288-6660",
            "fax_number": "812-283-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKER",
        "first_name": "BHANUSHANKER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01028342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100365820A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Temple, MSSW
• John Ellis Terrell, PH.D.
• Holly Renee Terry, FNP-C
• Tijah Terry
• Marlene Marie Thacker, LSW
• The Health and Hospital Corporation of Marion County (Hillcrest Village)
• The Little Clinic of Indiana LLC
• The Little Clinic, LLC
• The Outpatient Connection, LLC
• Therapy Works Inc

• Family Medicine Physician in Jeffersonville, IN
• Providers in Jeffersonville, 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 Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.