Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Plaza Park Family Practice LLC

Organization Family Medicine Physician · NPI 1336574490

Plaza Park Family Practice LLC provides Family Medicine Physician services 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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