Active NPI
Physicians' Health Group, LLC
Doing business as Richard Gries M.D.
- Family Medicine Physician
- Haubstadt, IN
National Provider Identifier
1952379307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHYSICIANS' HEALTH GROUP, LLC
- Doing business as
- Richard Gries M.D.
- Practice address
- 304 E. Highway 68
Haubstadt, IN 47639 - Phone
- (812) 464-3016
- Fax
- (812) 753-4148
- NPI assigned
- Mar 10, 2006
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carolyn Weinert
- Title
- Executive Director
- Phone
- (812) 485-1818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IN | Primary |
Addresses
Primary practice location
304 E. Highway 68
Haubstadt, IN 47639
Mailing address
PO Box 370
Haubstadt, IN 47639-0370
Phone (812) 464-3016
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000245598 | Other | IN | BCBS |
| CK5998 | Other | RAILROAD MEDICARE | |
| 065639 | Other | HEALTH ALLIANCE |
Other names 1
- Richard Gries M.D.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Haubstadt, IN
- NPI 1679550081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1952379307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "HAUBSTADT",
"state": "IN",
"postal_code": "476390370",
"telephone_number": "812-464-3016",
"fax_number": "812-753-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 E. HIGHWAY 68",
"city": "HAUBSTADT",
"state": "IN",
"postal_code": "47639",
"telephone_number": "812-464-3016",
"fax_number": "812-753-4148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS' HEALTH GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WEINERT",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "812-485-1818",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000245598",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CK5998",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "065639",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Richard Gries M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Haubstadt, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.