White County Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WHITE COUNTY FAMILY PHYSICIANS

Practice address

800 N Adams St
Monon, IN 47959

Phone

(219) 253-6691

Fax

(219) 253-6173

NPI assigned

Nov 28, 2006

Last updated

May 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frederic A Henney, MD

Title

Owner Physician

Phone

(219) 253-6691

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1942376025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N ADAMS ST",
            "address_2": "PO BOX 748",
            "city": "MONON",
            "state": "IN",
            "postal_code": "479590748",
            "telephone_number": "219-253-6691",
            "fax_number": "219-253-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N ADAMS ST",
            "city": "MONON",
            "state": "IN",
            "postal_code": "47959",
            "telephone_number": "219-253-6691",
            "fax_number": "219-253-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "HENNEY",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "219-253-6691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262700A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yadira Santiago Banuelos, MSN, RN, FNP-BC
• Margaret E Shupe, FNP-BC
• Chelsea Taulman
• Trustees of Purdue University (Family Health Clinic of Monon)
• Charles Ung, PHARMD, RPH
• Wood Pharmacy
• Evan Young, PHARMD, BC-ADM

• Family Medicine Physician in Monon, IN
• Providers in Monon, 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 May 14, 2015; 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.