Organization
PHYSICIANS' HEALTH GROUP, LLC
Active
Other names
Bellemeade Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN ANN WEINERT (EXECUTIVE DIRECTOR)
(812) 485-1818
Entity
Organization
Contact information
Practice address
3801 BELLEMEADE AVE, SUITE 200-C, EVANSVILLE, IN 47714-0100
(812) 485-1717
(812) 485-1713
Mailing address
3801 BELLEMEADE AVE, SUITE 200-C, EVANSVILLE, IN 47714-0100
(812) 485-1717
(812) 485-1713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01027359A
IN
207RI0200X
Infectious Disease Physician
01045998A
IN
363LF0000X
Family Nurse Practitioner
71001430A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000245652
BCBS
IN
01
—
CK6066
RAILROAD MEDICARE
—
Enumeration date
03/09/2006
Last updated
04/20/2008
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