| Columbus Physicians Associates Pc | |
|
2753 Foxpointe Drive Columbus IN 47203-3224 | |
| (812) 376-7824 | |
| (812) 378-8390 |
| Full Name | Columbus Physicians Associates Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2753 Foxpointe Drive, Columbus, Indiana |
| Authorized Official Name and Position | Theodora Saddoris (PRESIDENT) |
| Authorized Official Contact | 8123767824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Physicians Associates Pc 2753 Foxpointe Drive Columbus IN 47203-3224 Ph: (812) 376-7824 | Columbus Physicians Associates Pc 2753 Foxpointe Drive Columbus IN 47203-3224 Ph: (812) 376-7824 |
| NPI Number | 1346290566 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 04/05/2021 |
| Medicare PECOS PAC ID | 6103987508 |
|---|---|
| Medicare Enrollment ID | O20081203000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346290566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Theodora Saddoris |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1245280536 PECOS PAC ID: 8820159213 Enrollment ID: I20081203000750 |
| Provider Name | John L Nieters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093766107 PECOS PAC ID: 1052440922 Enrollment ID: I20100602000790 |
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