1235368531 NPI number — TRANSMED ASSOCIATES, INC.

Table of content: (NPI 1235368531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235368531 NPI number — TRANSMED ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSMED ASSOCIATES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235368531
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8131 KINGSTON ST
Provider Second Line Business Mailing Address:
SUITE 700
Provider Business Mailing Address City Name:
AVON
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46123-9119
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-272-9993
Provider Business Mailing Address Fax Number:
317-272-7693

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
360 PLAZA DR
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47201-2952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-372-2800
Provider Business Practice Location Address Fax Number:
317-272-7693
Provider Enumeration Date:
07/08/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HAINES
Authorized Official First Name:
WILBUR
Authorized Official Middle Name:
A.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
812-372-2800

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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