Providence Medical Group LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

PROVIDENCE MEDICAL GROUP LLC

Practice address

2723 S 7TH St Ste S
Terre Haute, IN 47802-3584

Phone

(812) 232-8164

Fax

(812) 242-1565

NPI assigned

Nov 20, 2006

Last updated

Sep 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George B Bittar, MDNPI 1801869615

Title

Director

Phone

(812) 232-8164

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• George B Bittar, MD

  • Cardiovascular Disease Physician
  • Terre Haute, IN
  • NPI 1801869615
  Authorized official Same address or phone

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1982778080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST STE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-232-8164",
            "fax_number": "812-242-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST STE S",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023584",
            "telephone_number": "812-232-8164",
            "fax_number": "812-242-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "BITTAR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-232-8164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Medical LLC
• Rebecca Proctor, NP
• Nathan Propst, PHARMD
• Providence Cardiovascular Lab, LLC
• Providence Medical Group LLC
• Psychological & Educational Resources, Inc
• Vincent Puccia, M.D.
• Puchalapalli M D, Inc.
• Subbareddy Puchalapalli, M.D.
• Pulaski Memorial Hospital (Majestic Care of Terre Haute)

• Physiological Laboratory in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Physiological Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.