Active NPI
Union Associated Physicians Clinic, LLC
- Otolaryngology Physician
- Terre Haute, IN
National Provider Identifier
1962736157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- UNION ASSOCIATED PHYSICIANS CLINIC, LLC
- Practice address
- 400 Poplar St
Terre Haute, IN 47807-4209 - Phone
- (812) 234-3788
- Fax
- (812) 235-3330
- NPI assigned
- Sep 22, 2009
- Organization subpart
- Yes
- Parent organization
- UNION ASSOCIATED PHYSICIANS CLINIC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael P Fouty
- Title
- Cfo
- Phone
- (812) 232-0564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
400 Poplar St
Terre Haute, IN 47807-4209
Mailing address
221 S 6TH St
Terre Haute, IN 47807-4214
Phone (812) 232-0564
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200975660 | Medicaid | IN | |
| DQ0893 | Other | IN | RAILROAD MEDICARE |
National Provider Directory
National Provider Directory- Part of
- Union Associated Physicians
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281571200000",
"number": "1962736157",
"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": "812-242-3861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 POPLAR ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478074209",
"telephone_number": "812-234-3788",
"fax_number": "812-235-3330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION ASSOCIATED PHYSICIANS CLINIC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNION ASSOCIATED PHYSICIANS CLINIC, LLC",
"enumeration_date": "2009-09-22",
"last_updated": "2010-08-12",
"status": "A",
"authorized_official_last_name": "FOUTY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "812-232-0564"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200975660",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DQ0893",
"state": "IN"
}
],
"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 Aug 12, 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.