Healthcare Provider Details

I. General information

NPI: 1205885316
Provider Name (Legal Business Name): THERAPY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 02/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N BURKHARDT RD
EVANSVILLE IN
47715-2740
US

IV. Provider business mailing address

PO BOX 2368
INDIANAPOLIS IN
46206-2368
US

V. Phone/Fax

Practice location:
  • Phone: 812-474-1110
  • Fax: 812-474-1303
Mailing address:
  • Phone: 800-331-9294
  • Fax: 812-471-9282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JON D. FRAZIER
Title or Position: OWNER
Credential: MEDICAL DOCTOR
Phone: 812-474-1110