INDIANA PHYSICIAN MANAGEMENT-RANDOLPH, LLC
NPI 1104102037
Emergency Medicine in Winchester, IN

Active since October 24, 2011
473 E GREENVILLE AVE, WINCHESTER, IN 47394(317) 870-0480(317) 870-0499 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Indiana Physician Management-randolph, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIANA PHYSICIAN MANAGEMENT-RANDOLPH, LLC (NPI 1104102037) is a healthcare organization registered as an emergency medicine in Winchester, Indiana and active in the NPI registry since October 2011. The organization lists Stewart Bick, President, as its authorized official.

NPPES Registry Identity

NPI1104102037
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameINDIANA PHYSICIAN MANAGEMENT-RANDOLPH, LLC
Location Address473 E GREENVILLE AVEWinchester, IN 47394-9436
Mailing Address7148 Solution CtrChicago, IL 60677-7001 · (317) 870-6763 · Fax (317) 870-0499
Fax(317) 870-0499
Organization SubpartNo
Authorized OfficialStewart BickPresident · (317) 338-5053
Enumeration DateOctober 24, 2011
Last NPPES UpdateJanuary 11, 2013
NPI 1104102037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
473 E GREENVILLE AVE, Winchester, IN 47394

Other Identifiers 2

Medicare PINM100060617IN
Medicaid201037180BIN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
473 E GREENVILLE AVE
WINCHESTER, IN 47394
Nurse Practitioner (Family)
473 E GREENVILLE AVE
WINCHESTER, IN 47394
Emergency Medicine
473 E GREENVILLE AVE
WINCHESTER, IN 47394
Anesthesiology
473 E GREENVILLE AVE
WINCHESTER, IN 47394
Pharmacist
473 E GREENVILLE AVE
WINCHESTER, IN 47394
General Acute Care Hospital (Critical Access)
473 E GREENVILLE AVE
WINCHESTER, IN 47394
Specialist/Technologist (Athletic Trainer)
473 E GREENVILLE AVE
WINCHESTER, IN 47394
Medicare Defined Swing Bed Unit
473 E GREENVILLE AVE
WINCHESTER, IN 47394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Indiana Physician Management-Randolph, LLC's NPI number?

The NPI number for Indiana Physician Management-Randolph, LLC is 1104102037. It was assigned to this organization in the NPPES registry on October 24, 2011.

Where is Indiana Physician Management-Randolph, LLC located?

Indiana Physician Management-Randolph, LLC is located at 473 E Greenville Ave, Winchester, IN 47394. The listed phone number is (317) 870-0480.

What is Indiana Physician Management-Randolph, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Indiana Physician Management-Randolph, LLC was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.