# INDIANA HEALTHCARE PHYSICIAN SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INDIANA HEALTHCARE PHYSICIAN SERVICES, INC
- **Other names:** D/B/A Punxsutawney Physician Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821195033
- **Legal business name:** INDIANA HEALTHCARE PHYSICIAN SERVICES, INC
- **Authorized official:** APRIL MILLER (EXECUTIVE DIRECTOR REVENUE CYCLE)
- **Authorized official phone:** (814) 977-5549

## Contact information

- **Practice address:** 81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
- **Practice address phone:** (814) 938-1451
- **Practice address fax:** (814) 938-1451
- **Mailing address:** 81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
- **Mailing address phone:** (814) 938-1451
- **Mailing address fax:** (814) 938-1451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204R00000X | Electrodiagnostic Medicine Physician | MD450924 | PA | — |
| 207Y00000X | Otolaryngology Physician | MD450155 | PA | — |
| 208600000X | Surgery Physician | MD446903 | PA | — |
| 208600000X | Surgery Physician | MD447392 | PA | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208D00000X | General Practice Physician | MD037172L | PA | — |
| 208D00000X | General Practice Physician | MD417193 | PA | Yes |
| 363LF0000X | Family Nurse Practitioner | SP012816 | PA | — |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 07/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0015479580004 | — | PA |
| 01 | — | BO65 | UPMC | PA |