NPIMap

Organization Active NPI

Sharp Medical Practice

  • Family Medicine Physician
  • Lagrange, IN
National Provider Identifier
1982758140
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1047132 Issued in IN
Legal business name
SHARP MEDICAL PRACTICE
Practice address
2600 N Detroit St
Lagrange, IN 46761
Phone
(260) 463-4896
Fax
(260) 463-5242
NPI assigned
Jan 23, 2007
Last updated
Feb 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Rhonda Lee Sharp, MDNPI 1912932617
Title
Owner Physician
Phone
(260) 463-4896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1047132 IN Primary

Addresses

Primary practice location

2600 N Detroit St
Lagrange, IN 46761

Mailing address

2600 N Detroit St
PO Box 168
Lagrange, IN 46761
Phone (260) 463-4896

Other identifiers 1

IdentifierTypeStateIssuer
200102520MedicaidIN

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1982758140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N DETROIT ST",
            "address_2": "PO BOX 168",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "46761",
            "telephone_number": "260-463-4896",
            "fax_number": "260-463-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N DETROIT ST",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "46761",
            "telephone_number": "260-463-4896",
            "fax_number": "260-463-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "260-463-4896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "1047132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200102520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.

Verify at the official NPI Registry.