MEDICARE: PHYSICIANS PRACTICE ORGANIZATION, INC

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	207R00000X	Internal Medicine Physician		IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487658381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS PRACTICE ORGANIZATION, INC

Provider Business Mailing Address
First Line	:	4050 CENTRAL AVE
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203
Country	:	US
Telephone Number	:	812-376-9427
Fax Number	:

Provider Business Practice Location Address
First Line	:	4050 CENTRAL AVE
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47203
Country	:	US
Telephone Number	:	812-376-9427
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JOHN R ALESSI
Credential	:	MD
Telephone Number	:	812-988-2223

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	05/08/2014

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