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General NPI Number Information
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NPI Number | 1205885316
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Entity Type | Organization
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Legal Business Name | THERAPY ASSOCIATES INC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 700 N BURKHARDT RD
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City | EVANSVILLE
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State | IN
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Zip | 47715-2740
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Country | US
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Telephone | 812-474-1110
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Fax | 812-474-1303
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Provider Business Mailing Address
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Address Line | PO BOX 2368
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-2368
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Country | US
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Telephone | 800-331-9294
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Fax | 812-471-9282
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Authorized Official
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Title or Position | OWNER
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Name | DR. JON D. FRAZIER
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Credential | MEDICAL DOCTOR
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Telephone | 812-474-1110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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