Healthcare Provider Details

I. General information

NPI: 1528135647
Provider Name (Legal Business Name): PHYSICIANS PRACTICE ORGANIZATION INC. 'DBA' OBSTETRICS & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 02/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3183 N NATIONAL RD
COLUMBUS IN
47201-3164
US

IV. Provider business mailing address

3183 N NATIONAL RD
COLUMBUS IN
47201-3164
US

V. Phone/Fax

Practice location:
  • Phone: 812-372-1581
  • Fax: 812-376-4028
Mailing address:
  • Phone: 812-372-1581
  • Fax: 812-376-4028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: APRIL LUCERO
Title or Position: BUSINESS MANAGER
Credential:
Phone: 812-372-1581