Lifespring Medical Services, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIFESPRING MEDICAL SERVICES, INC

Practice address

1036 Sharon Dr
Jeffersonville, IN 47130-4522

Phone

(812) 280-2080

NPI assigned

Dec 3, 2014

Last updated

Dec 5, 2014By 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

Mr. Terry Stawar, ED.DNPI 1841337268

Title

Incorporator

Phone

(812) 206-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Terry Stawar, LMHC

  • School Psychologist
  • Jeffersonville, IN
  • NPI 1841337268
  NPD Authorized official

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1992102180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SHARON DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304522",
            "telephone_number": "812-280-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SHARON DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304522",
            "telephone_number": "812-280-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "STAWAR",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "812-206-1234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992102180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Lesaux, LCSW
• Cassandra Denise Lewis, PMHNP
• Marcie Lewis, FNP-C
• Phonesavane Lianekhammy, M.D.
• Life Improvement Counseling Center LLC
• Lifespring Pharmacy
• Lifespring, Inc (LifeSpring Forensics Health Services)
• Lifespring, Inc
• Lifespring, Inc (LifeSpring Adult Behavioral Services)
• Lifespring, Inc

• Primary Care Clinic/Center in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.