MEDICARE: INTEGRITY FAMILY PHYSICIANS, PC

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
1	207Q00000X	Family Medicine Physician	50004404A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	3263	OTHER	IN	RR MEDICARE GRP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000227038	OTHER	IN	ANTHEM INDIANA GRP NUMBER

General Provider Information

NPI Number	:	1700837358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRITY FAMILY PHYSICIANS, PC

Provider Business Mailing Address
First Line	:	6221 PHYSICIANS CT
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-4031
Country	:	US
Telephone Number	:	812-491-3236
Fax Number	:	812-491-3242

Provider Business Practice Location Address
First Line	:	6221 PHYSICIANS CT
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-4031
Country	:	US
Telephone Number	:	812-491-3236
Fax Number	:	812-491-3242

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THIMJON C FERGUSON
Credential	:	M.D.
Telephone Number	:	812-491-3236

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	08/22/2020

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Directions to “INTEGRITY FAMILY PHYSICIANS, PC ” Practice Location

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