Provider Demographics
NPI:1083825616
Name:INPATIENT SERVICES ASSOCIATION LLC
Entity Type:Organization
Organization Name:INPATIENT SERVICES ASSOCIATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-949-6264
Mailing Address - Street 1:PO BOX 950238
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0238
Mailing Address - Country:US
Mailing Address - Phone:812-949-5077
Mailing Address - Fax:812-949-5073
Practice Address - Street 1:3589 LAFAYETTE PKWY
Practice Address - Street 2:
Practice Address - City:FLOYDS KNOBS
Practice Address - State:IN
Practice Address - Zip Code:47119-9760
Practice Address - Country:US
Practice Address - Phone:812-949-6264
Practice Address - Fax:812-949-5073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01033730A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYDD7199OtherRAIL ROAD MEDICARE
IN100086780Medicaid
INC78537Medicare UPIN
IN231210Medicare PIN
IN100086780Medicaid
KY9771Medicare PIN