Organization
INTEGRITY FAMILY PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THIMJON C FERGUSON M.D. (PRESIDENT)
(812) 491-3236
Entity
Organization
Contact information
Practice address
6221 PHYSICIANS CT, EVANSVILLE, IN 47715-4031
(812) 491-3236
(812) 491-3242
Mailing address
6221 PHYSICIANS CT, EVANSVILLE, IN 47715-4031
(812) 491-3236
(812) 491-3242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50004404A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227038
ANTHEM INDIANA GRP NUMBER
IN
01
—
3263
RR MEDICARE GRP NUMBER
IN
Enumeration date
05/16/2006
Last updated
08/22/2020
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