Active NPI
Eric Scott Fledderman, ATC, LAT
- Athletic Trainer
- Batesville, IN
National Provider Identifier
1962471771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36000902A
- Practice address
- 321 Mitchell Ave
Batesville, IN 47006-8909 - Phone
- (812) 934-6624
- NPI assigned
- Mar 15, 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36000902A | IN | Primary |
Addresses
Primary practice location
321 Mitchell Ave
Batesville, IN 47006-8909
Mailing address
1113 Columbus Ave
Batesville, IN 47006-7618
Phone (812) 932-1773
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36000902A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246492800000",
"number": "1962471771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 COLUMBUS AVE",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470067618",
"telephone_number": "812-932-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 MITCHELL AVE",
"city": "BATESVILLE",
"state": "IN",
"postal_code": "470068909",
"telephone_number": "812-934-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEDDERMAN",
"first_name": "ERIC",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2009-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36000902A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Batesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.