Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Plaza Park Family Practice LLC

Organization Family Medicine Physician · NPI 1336574490

Plaza Park Family Practice LLC is a Family Medicine Physician in Newburgh, Indiana. Licensed in Indiana. Registered with an NPI since 2013.

Licensed in
IN
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3799 Venetian Way
Newburgh, IN 47630-8278
Phone: (812) 471-4302
Fax: (812) 471-4303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01036788A (IN)
Nurse Practitioner Taxonomy 363L00000X (IN)

Record details

NPI number1336574490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carleen Rubel — President · (812) 471-4302
NPI enumeratedSeptember 9, 2013
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing addressPo Box 3276, Evansville, IN 47731-3276

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