Organization
FMMG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J EICHENBERGER MD (PRESIDENT / CEO)
(812) 542-4921
Entity
Organization
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(812) 542-4906
(812) 949-5966
Mailing address
800 HIGHLANDER POINT DR STE 204, FLOYDS KNOBS, IN 47119-9465
(812) 542-4906
(812) 948-6715
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000729479
ANTHEM
IN
01
—
127750
SIHO
IN
05
—
201039920A
—
IN
05
—
201207730
—
IN
01
—
3361514
UNITED
IN
05
—
7100200500
—
KY
01
—
8891986
PHCS/MULTIPLAN
IN
01
—
9213755
AETNA
IN
01
—
9213755
AETNA
KY
01
—
DS6609
RR MEDICARE
IN
Enumeration date
07/21/2011
Last updated
07/08/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us