Basic Information
| Provider Information | |||||||||
| NPI: | 1700837358 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | INTEGRITY FAMILY PHYSICIANS, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6221 PHYSICIANS CT | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477154031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124913236 | ||||||||
| FaxNumber: | 8124913242 | ||||||||
| Practice Location | |||||||||
| Address1: | 6221 PHYSICIANS CT | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477154031 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124913236 | ||||||||
| FaxNumber: | 8124913242 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | FERGUSON | ||||||||
| AuthorizedOfficialFirstName: | THIMJON | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8124913236 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 50004404A | IN | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 000000227038 | 01 | IN | ANTHEM INDIANA GRP NUMBER | OTHER | 3263 | 01 | IN | RR MEDICARE GRP NUMBER | OTHER |