NPIMap

Organization Active NPI

Associated Physicians & Surgeons Clinic, LLC

  • Family Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1962586198
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC
Practice address
1739 N 4TH St
Terre Haute, IN 47804-4002
Phone
(812) 232-0564
Fax
(812) 242-3848
NPI assigned
Oct 24, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ASSOCIATED PHYSICIAN & SURGEONS CLINIC, LLCAs reported in NPPES

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
Michael P Fouty
Title
Cfo/Authorized Representative
Phone
(812) 232-0564

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X NU
Hematology & Oncology Physician 207RH0003X NU
Sports Medicine (Internal Medicine) Physician 207RS0010X NU

Addresses

Primary practice location

1739 N 4TH St
Terre Haute, IN 47804-4002

Mailing address

221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 232-0564

Other identifiers 2

IdentifierTypeStateIssuer
0176835OtherUS DEPT OF LABOR
ZD3948OtherOPTIMUM CHOICE INC

National Provider Directory

National Provider Directory
Part of
Aps Clinic

Locations

1214 E National Ave
Ste 110
Brazil, IN 47834
Phone (812) 442-2100

777 S Main St
Ste 200
Clinton, IN 47842
Phone (765) 828-0750

777 S Main St
Ste 300
Clinton, IN 47842
Phone (317) 832-1511

1216 N 1000 W
Linton, IN 47441
Phone (812) 699-4111

320 N Section St
Sullivan, IN 47882
Phone (812) 235-3027

1739 N 4th St
Fl 1
Terre Haute, IN 47804
Phone (812) 242-3600

400 8th Ave
Terre Haute, IN 47804
Phone (812) 232-7611

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1962586198",
    "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": "812-232-0564",
            "fax_number": "812-242-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 N 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044002",
            "telephone_number": "812-232-0564",
            "fax_number": "812-242-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PHYSICIANS & SURGEONS CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED PHYSICIAN & SURGEONS CLINIC, LLC",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "FOUTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO/AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "812-232-0564"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "0176835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE INC",
            "identifier": "ZD3948",
            "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 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.