Basic Information
Provider Information
NPI: 1942231444
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALVEY
FirstName: THURMAN
MiddleName: V
NamePrefix:  
NameSuffix: III
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1401 W COUNTY LINE RD
Address2:  
City: GREENWOOD
State: IN
PostalCode: 461425195
CountryCode: US
TelephoneNumber: 3172171200
FaxNumber: 3178171220
Practice Location
Address1: 1401 W COUNTY LINE RD
Address2:  
City: GREENWOOD
State: IN
PostalCode: 461425195
CountryCode: US
TelephoneNumber: 3172171200
FaxNumber: 3178171220
Other Information
ProviderEnumerationDate: 07/05/2006
LastUpdateDate: 08/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QS0010X02002969AINY Allopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
207Q00000X02002969AINN Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
20083723005IN MEDICAID


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