Organization Active NPI

Gerald a. Rahn, MD., LLC

  • Orthopaedic Surgery Physician
  • Bloomington, IN
National Provider Identifier
1942412168
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01031820 Issued in IN
Legal business name
GERALD A. RAHN, MD., LLC
Practice address
822 W 1St St
Bloomington, IN 47403-2384
Phone
(812) 337-1000
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Gerald A Rahn, MD
Title
President
Phone
(812) 334-1333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 01031820 IN Primary

Addresses

Primary practice location

822 W 1St St
Bloomington, IN 47403-2384

Mailing address

417 W 6TH St
Bloomington, IN 47404-3915
Phone (812) 334-1333

Other identifiers 2

IdentifierTypeStateIssuer
000000507206OtherINBCBS
1225060940OtherININDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

822 W 1st St
Ste 6
Bloomington, IN 47403
Phone (812) 336-0003

417 W 6th St
Bloomington, IN 47404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1942412168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W 6TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043915",
            "telephone_number": "812-334-1333",
            "fax_number": "812-334-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W 1ST ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032384",
            "telephone_number": "812-337-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD A. RAHN, MD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "RAHN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-334-1333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01031820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000507206",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1225060940",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.