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NPI Code Detail

MEDICARE: PHYSICIANS PRACTICE ORGANIZATION INC

MEDICARE: PHYSICIANS PRACTICE ORGANIZATION INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DT5944OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073857793
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS PRACTICE ORGANIZATION INC
Provider Business Mailing Address
First Line : PO BOX 2547
Second Line :
City : COLUMBUS
State : IN
Zip : 47202-2547
Country : US
Telephone Number : 812-376-3100
Fax Number : 812-378-6191
Provider Business Practice Location Address
First Line : 1655 N GLADSTONE AVE STE A
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5380
Country : US
Telephone Number : 812-376-3100
Fax Number : 812-378-6191
Authorized Official
Title or Position : PRESIDENT
Name : JOHN R ALESSI
Credential : D.O.
Telephone Number : 812-988-2223
Provider Enumeration Date : 11/19/2012
Last Update Date : 05/16/2014

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Directions to “PHYSICIANS PRACTICE ORGANIZATION INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.