Provider Demographics
NPI:1497863120
Name:THOROUGHCARE, PC
Entity Type:Organization
Organization Name:THOROUGHCARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:IPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-836-4874
Mailing Address - Street 1:4808 VIKING TRL
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-8810
Mailing Address - Country:US
Mailing Address - Phone:765-836-4874
Mailing Address - Fax:765-836-5400
Practice Address - Street 1:4808 VIKING TRL
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-8810
Practice Address - Country:US
Practice Address - Phone:765-836-4874
Practice Address - Fax:765-836-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01026974207Q00000X
IN71001495A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN352900Medicare ID - Type UnspecifiedINDIANA MEDICARE
IN153855Medicare Oscar/Certification