SANDCREST FAMILY MEDICINE
NPI 1407861164
Family Medicine in Columbus, IN

Active since July 30, 2006
3203 MIDDLE DR, COLUMBUS, IN 47203(812) 373-2701(812) 373-2710 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sandcrest Family Medicine NPPES

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

SANDCREST FAMILY MEDICINE (NPI 1407861164) is a healthcare organization registered as a family medicine in Columbus, Indiana and active in the NPI registry since July 2006. The organization lists David J Porter, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407861164
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN PRACTICE ORGANIZATION
Location Address3203 MIDDLE DRColumbus, IN 47203-4427
Mailing Address3203 Middle DrColumbus, IN 47203-4427 · (812) 373-2701 · Fax (812) 373-2710
Fax(812) 373-2710
Organization SubpartNo
Authorized OfficialDavid J PorterMedical Director · (812) 373-2701
Enumeration DateJuly 30, 2006
Last NPPES UpdateJanuary 27, 2014
NPI 1407861164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3203 MIDDLE DR, Columbus, IN 47203

Other Names 1

Doing Business AsSandcrest Family Medicine

Other Identifiers 3

Medicaid100051320AIN
Medicare PIN143480IN
Other=========001IN · Blue Cross/blue Shield

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

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 Physician Practice Organization's NPI number?

The NPI number for Physician Practice Organization is 1407861164. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Sandcrest Family Medicine.

Where is Physician Practice Organization located?

Physician Practice Organization is located at 3203 Middle Dr, Columbus, IN 47203. The listed phone number is (812) 373-2701.

What is Physician Practice Organization's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Physician Practice Organization was last updated on January 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.