JEFFERSONVILLE FAMILY PRACTICE – NPI #1235450867
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JEFFERSONVILLE FAMILY PRACTICE is a provider located in JEFFERSONVILLE, IN. NPPES has assigned the NPI number 1235450867 to JEFFERSONVILLE FAMILY PRACTICE on June 17, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JEFFERSONVILLE FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is COLEMAN INSTITUTE- INDIANA PETER RICHARD COLEMAN SOLE MBR. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 16 years ago on Oct 07, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFERSONVILLE FAMILY PRACTICE below.

NPI Profile for
COLEMAN INSTITUTE- INDIANA PETER RICHARD COLEMAN SOLE MBR

NPI Number
1235450867
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLEMAN INSTITUTE- INDIANA PETER RICHARD COLEMAN SOLE MBR
Doing Business As (dba): JEFFERSONVILLE FAMILY PRACTICE
Primary location
1035 WALL ST
SUITE 204
JEFFERSONVILLE, IN 47130-3612
Phone: (812) 288-8410 Fax: (812) 288-8409
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVEN SHIELDS
BILLING MANAGER
Phone: (804) 282-9133
Updated
Identifiers

Identifiers for JEFFERSONVILLE FAMILY PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIN1437214731
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IN 02001067A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.