Healthcare Provider Details

I. General information

NPI: 1700341872
Provider Name (Legal Business Name): MID WEST HOSPITAL PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2019
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 SHERMAN DR
PRINCETON IN
47670-1043
US

IV. Provider business mailing address

PO BOX 3689 DEPT 508
SUGAR LAND TX
77478-3310
US

V. Phone/Fax

Practice location:
  • Phone: 812-385-3401
  • Fax:
Mailing address:
  • Phone: 888-264-0330
  • Fax: 866-270-0129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HARRY KYLE SHEETS
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 888-264-0330