SOUTHERN INDIANA PEDIATRICS P.S.C.
NPI 1811043854
Pediatrics in Jeffersonville, IN
NPI Status: Active since January 25, 2007
Contact Information
1701 SPRING ST
SUITE A.
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 282-1367
Fax: (812) 284-8377
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 15D0359372
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-29-2026
About SOUTHERN INDIANA PEDIATRICS P.S.C.
This page provides the complete NPI Profile along with additional information for Southern Indiana Pediatrics P.s.c., a pediatrician established in Jeffersonville, Indiana operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1811043854 assigned on January 2007. The practitioner's primary taxonomy code is 208000000X with license number 50002306A (IN). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Lynn R Gulley M.d. (President)
- NPI
- 1811043854
- Provider Name
- SOUTHERN INDIANA PEDIATRICS P.S.C.
- Entity Type
- Organization
- Location Address
- 1701 SPRING ST SUITE A. JEFFERSONVILLE, IN 47130
- Location Phone
- (812) 282-1367
- Location Fax
- (812) 284-8377
- Mailing Address
- 1701 SPRING ST SUITE A. JEFFERSONVILLE, IN 47130
- Mailing Phone
- (812) 282-1367
- Mailing Fax
- (812) 284-8377
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-25-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Southern Indiana Pediatrics P.s.c. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 50002306A
- License State
- IN
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0359372
- Facility Type
- Physician Office
- Certificate Effective Date
- September 30, 2024
- Certificate Expiration Date
- September 29, 2026
- Laboratory Director
- LYNN GULLEY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Southern Indiana Pediatrics P.s.c. after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 1 | 1 | 0 | 4 | 3 | 8 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 2 | 1 | 0 | 4 | 6 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 2 + 1 + 0 + 4 + 6 + 8 + 1 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1811043854 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801813605 | MARY HAYMAN MD Individual | Pediatrics | 1701 SPRING ST SUITE A. JEFFERSONVILLE, IN 47130 (812) 282-1367 |
| 1841300100 | DR. MARY M FLEMING M.D. Individual | Pediatrics | 1701 SPRING ST SUITE A JEFFERSONVILLE, IN 47130 (812) 282-1367 |
| 1225148406 | DR. TERRI L JOLIET M.D. Individual | Pediatrics | 1701 SPRING ST SUITE A JEFFERSONVILLE, IN 47130 (812) 282-1367 |
| 1699917500 | MS. GENEVIEVE ABUEG CARNERO M.D. Individual | Pediatrics | 1701 SPRING ST JEFFERSONVILLE, IN 47130 (812) 282-1367 |
| 1346647229 | DONNALYNN DENNIS IBCLC Individual | Lactation Consultant, Non-RN | 1701 SPRING ST A JEFFERSONVILLE, IN 47130 (812) 282-1376 |
| 1538602214 | MRS. PAMELA WARD MSN, FNP-C Individual | Nurse Practitioner (Family) | 1701 SPRING ST SUITE B JEFFERSONVILLE, IN 47130 (812) 284-2273 |
| 1881131894 | MRS. LYNDSEY ZAJAC Individual | Nurse Practitioner (Family) | 1701 SPRING ST SUITE B JEFFERSONVILLE, IN 47130 (812) 284-2273 |
| 1497150510 | FOREFRONT DERMATOLOGY, S.C. Organization | Dermatology | 1701 SPRING ST JEFFERSONVILLE, IN 47130 (812) 282-8622 |
| 1881732881 | RICHARD JOSEPH BOBAY ARNP-C Individual | Nurse Practitioner (Family) | 1701 SPRING ST SUITE B JEFFERSONVILLE, IN 47130 (812) 284-2273 |
| 1528620044 | MRS. AMY LEE SMITH FNP-C Individual | Nurse Practitioner (Family) | 1701 SPRING ST JEFFERSONVILLE, IN 47130 (812) 284-2273 |
| 1447906755 | ASHLEY MAUREEN BAKER APRN, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 1701 SPRING ST JEFFERSONVILLE, IN 47130 (812) 284-2273 |
| 1356674162 | TOTAL CARE FAMILY PRACTICE RICK BOBAY LLC Organization | Internal Medicine | 1701 SPRING ST SUITE B JEFFERSONVILLE, IN 47130 (812) 284-2273 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811043854, enumerated in the NPI registry as an "organization" on January 25, 2007
The provider is located at 1701 Spring St Suite A. Jeffersonville, In 47130 and the phone number is (812) 282-1367
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 15D0359372 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 25, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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