Victoria Ann Othersen in Beech Grove - Family Medicine
Victoria Ann Othersen - NPI 1629075429
Victoria Ann Othersen is a Family Medicine in Beech Grove, Indiana. Victoria Ann Othersen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Victoria Ann Othersen is 1629075429. The last update date is 2023-08-10.
Victoria Ann Othersen's current location address is 2030 Churchman Ave # A, Beech Grove, Indiana. You can contact this provider via phone number 3177869285 and fax number 3177812793. The mailing address for Victoria Ann Othersen is 2030 Churchman Ave # A, Beech Grove, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Victoria Ann Othersen |
|---|---|
| Address | 2030 Churchman Ave # A, Beech Grove, Indiana |
| Phone Number | 3177869285 |
| Fax Number | 3177812793 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1629075429 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2023-08-10 |
Provider Mailing Address Detail
| Address | 2030 Churchman Ave # A |
|---|---|
| City | Beech Grove |
| State | Indiana (IN) |
| Post Code | 4610710440 |
| Phone Number | 3177869285 |
| Fax Number | 3177812793 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 34-007433 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 522568 | IN | ANTHEM | |
| 200250180A | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Victoria Ann Othersen by the Centers for Medicare & Medicaid Services?
The Victoria Ann Othersen has been issued the NPI (National Provider Identifier) 1629075429. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Victoria Ann Othersen?
The Victoria Ann Othersen is physically situated at 2030 Churchman Ave # A, in the city of Beech Grove, state of IN, with the postal code 4610710440.
What is Victoria Ann Othersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Victoria Ann Othersen is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629075429 to Victoria Ann Othersen?
The Centers for Medicare & Medicaid Services assigned the 1629075429 to Victoria Ann Othersen on 2005-07-07.
When was the information regarding Victoria Ann Othersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Victoria Ann Othersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-08-10.