JACKSON PARK PHYSICIANS, PC – NPI #1346388576
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.

JACKSON PARK PHYSICIANS, PC is a provider located in SEYMOUR, IN. NPPES has assigned the NPI number 1346388576 to JACKSON PARK PHYSICIANS, PC on February 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 13 years ago on Jun 25, 2013. 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 JACKSON PARK PHYSICIANS, PC below.

NPI Profile for
JACKSON PARK PHYSICIANS, PC

NPI Number
1346388576
Enumeration Date

(more than 19 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
JACKSON PARK PHYSICIANS, PC
Primary location
1124 MEDICAL PLACE
SEYMOUR, IN 47274
Phone: (812) 522-1613 Fax: (812) 522-6694
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KELLEY GILLASPY
PRACTICE MANAGER
Phone: (812) 522-1613
Updated
Identifiers

Identifiers for JACKSON PARK PHYSICIANS, PC

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
MEDICAIDIN100141330
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 50000714A

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.