Provider Demographics
NPI:1972848588
Name:PHYSICIANS PRACTICE ORGANIZATION, INC
Entity Type:Organization
Organization Name:PHYSICIANS PRACTICE ORGANIZATION, INC
Other - Org Name:SOUTHERN INDIANA HEART AND VASCULAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENTY
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALESSI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:812-988-2223
Mailing Address - Street 1:2325 18TH ST
Mailing Address - Street 2:STE 130
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-5388
Mailing Address - Country:US
Mailing Address - Phone:812-379-2020
Mailing Address - Fax:812-378-8272
Practice Address - Street 1:2325 18TH ST
Practice Address - Street 2:STE 130
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-5388
Practice Address - Country:US
Practice Address - Phone:812-379-2020
Practice Address - Fax:812-378-8272
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSICIANS PRACTICE ORGANIZAION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty