Midwest Medical Care, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01047370A Issued in IN

Legal business name

MIDWEST MEDICAL CARE, LLC

Practice address

1911 Chester Blvd
Richmond, IN 47374-1212

Phone

(765) 962-0414

Fax

(765) 962-1007

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sridevi A Vedantam, M.D.

Title

Member

Phone

(765) 962-0414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922183334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741212",
            "telephone_number": "765-962-0414",
            "fax_number": "765-962-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741212",
            "telephone_number": "765-962-0414",
            "fax_number": "765-962-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VEDANTAM",
        "authorized_official_first_name": "SRIDEVI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "765-962-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01047370A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael a Johnson Chiropractic
• Angela D Michael, MS
• Mid America Clinical Laboratories LLC
• Kristen Elizabeth Middleton
• Natasha Calais Middleton
• Karly Elizabeth Miers, FNP-C
• Shawna Mikesell
• Nicol Miles
• Allison Miller
• Catherine Miller

• Internal Medicine Physician in Richmond, IN
• Providers in Richmond, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.