Organization Active NPI

Physicians' Health Group, LLC

Doing business as Richard Gries M.D.

  • Family Medicine Physician
  • Haubstadt, IN
National Provider Identifier
1952379307
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000245598OtherINBCBS
CK5998OtherRAILROAD MEDICARE
065639OtherHEALTH ALLIANCE

Other names 1

  • Richard Gries M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.