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Organization
PARK VIEW PSYCHIATRIC SERVICES, PSC
Active
Organization
PARK VIEW PSYCHIATRIC SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R. SHELTON M.D. (PRESIDENT)
(812) 282-1888
Entity
Organization
Contact information
Practice address
510 SPRING STREET, JEFFERSONVILLE, IN 47130
(812) 282-1888
(812) 285-8392
Mailing address
510 SPRING STREET, JEFFERSONVILLE, IN 47130
(812) 282-1888
(812) 285-8392
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
50003891A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056294
ANTHEM GROUP #
—
01
—
000000303817
JAN BRASHEAR'S ANTHEM #
—
01
—
000000385875
AUDRA SUMMERS ANTHEM #
—
01
—
000000640353
ANTHEM # FOR BILL COLLINS
—
01
—
0676472
K DAVIS MEDICARE PIN
KY
01
—
100386460
MEDICAID GROUP
IN
01
—
1255390274
AUDRA SUMMERS NPI #
—
01
—
1952304040
JANICE BRASHEAR ARNP NPI
—
01
—
200977990
K DAVIS MEDICAID NUMBER
IN
01
—
2444451000
PASSPORT ADVANTAGE
KY
01
—
50002994
PASSPORT HEALTH PLAN # FOR JAN BRASHEAR
—
01
—
50010459
PASSORT HEALTH PLAN # FOR SUMMERS
—
01
—
5002992
PASSPORT HEALTH PLAN GROUP #
—
01
—
50704000
MAGELLAN GROUP
—
05
—
7100113670
—
KY
01
—
78903689
MEDICAID GROUP FOR ARNP
KY
01
—
K005430
M BLUNK MEDICARE PIN
KY
01
—
P00065495
BRASHEAR RR MEDICARE #
KY
01
—
P00455002
BRASHEAR RR MEDICARE #
IN
Enumeration date
04/23/2007
Last updated
10/14/2015
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