INTERNAL MEDICINE OF THE WABASH VALLEY P.C.
NPI 1356727218
Internal Medicine in Terre Haute, IN

Active since August 03, 2015CLIA 15D0958708 · Microscopy
2223 WABASH AVE, TERRE HAUTE, IN 47807(812) 235-7252(812) 235-7176 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Internal Medicine Of The Wabash Valley P.c. NPPES

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

INTERNAL MEDICINE OF THE WABASH VALLEY P.C. (NPI 1356727218) is a healthcare organization registered as an internal medicine in Terre Haute, Indiana and active in the NPI registry since August 2015. The organization holds a CLIA Microscopy certificate valid through January 9, 2028 and lists Jon Lee Stockrahm, President, as its authorized official.

NPPES Registry Identity

NPI1356727218
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE OF THE WABASH VALLEY P.C.
Location Address2223 WABASH AVETerre Haute, IN 47807-3305
Mailing Address1600 E Springhill DrTerre Haute, IN 47802-4363 · (812) 235-7252 · Fax (812) 235-7176
Fax(812) 235-7176
Organization SubpartNo
Authorized OfficialJon Lee StockrahmPresident · (812) 235-7252
Enumeration DateAugust 3, 2015
Last NPPES UpdateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
NPI 1356727218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 02002047
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2223 WABASH AVE, Terre Haute, IN 47807

Other Identifiers 1

Medicaid200227720AIN

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0958708

Internal Medicine Of The Wabash Valley PC · Terre Haute, IN
Active · expires Jan 9, 2028
CLIA Number15D0958708
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorJon L. Stockrahm
Laboratory Phone(812) 235-7252
Laboratory LocationInternal Medicine Of The Wabash Valley PC2223 Wabash Ave, Terre Haute, IN 47807
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Internal Medicine
2223 WABASH AVE
TERRE HAUTE, IN 47807

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 Internal Medicine Of The Wabash Valley P.C.'s NPI number?

The NPI number for Internal Medicine Of The Wabash Valley P.C. is 1356727218. It was assigned to this organization in the NPPES registry on August 3, 2015.

Where is Internal Medicine Of The Wabash Valley P.C. located?

Internal Medicine Of The Wabash Valley P.C. is located at 2223 Wabash Ave, Terre Haute, IN 47807. The listed phone number is (812) 235-7252.

What is Internal Medicine Of The Wabash Valley P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Internal Medicine Of The Wabash Valley P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0958708) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Internal Medicine Of The Wabash Valley P.C. was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.