Active NPI
Lance A Pickrell, M.D.
- Ophthalmology Physician
- Terre Haute, IN
National Provider Identifier
1952410797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01030052A
- Practice address
- 422 Poplar St
Terre Haute, IN 47807-4209 - Phone
- (812) 242-3700
- Fax
- (812) 234-3565
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01030052A | IN | Primary |
Addresses
Primary practice location
422 Poplar St
Terre Haute, IN 47807-4209
Mailing address
221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 242-3700
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0182814 | Other | US DEPT OF LABOR | |
| 351904269190 | Other | CARESOURCE MEDICAID | |
| I017569C002 | Other | UNISYS CHAMPUS SECONDARY | |
| 000000089613 | Other | ANTHEM | |
| 100251650D | Other | IN | MOLINA HEALTHCARE MCAID |
| P00844288 | Other | IN | RAILROAD MEDICARE |
| N286520 | Other | HARMONY HEALTH PLAN IND | |
| 100251650 | Medicaid | IN | |
| 180018771 | Other | RAILROAD MCARE PALAMETTO | |
| 01419 | Other | CIGNA | |
| 4062089 | Other | AETNA | |
| 118392 | Other | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01030052A | IN | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital Inc. | Current | Accepting new patients |
Interoperability endpoints
- lpickrell@unionhealth.cernerdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1952410797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 S 6TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074214",
"telephone_number": "812-242-3700",
"fax_number": "812-234-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 POPLAR ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074209",
"telephone_number": "812-242-3700",
"fax_number": "812-234-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKRELL",
"first_name": "LANCE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01030052A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "0182814",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE MEDICAID",
"identifier": "351904269190",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISYS CHAMPUS SECONDARY",
"identifier": "I017569C002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000089613",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE MCAID",
"identifier": "100251650D",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00844288",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARMONY HEALTH PLAN IND",
"identifier": "N286520",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100251650",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCARE PALAMETTO",
"identifier": "180018771",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "01419",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4062089",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "118392",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.