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Contact Information

ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC
2310 CALIFORNIA RD STE A
ELKHART, IN46514-1228
 Phone: 574-264-0791
 Fax: 574-262-9650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC

NPI Number 1710085253
LBN Legal business name ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC
Authorized official ROBIN MCLAUGHLIN - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 02/05/2019 - About 7 years ago
Identifiers
IN License # 50000745A
IN Medicaid 100111780
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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