STEPHEN F. MITROS, M.D., P.C. (NPI# 1639340672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639340672 |
| Entity Type | Organization |
| Organization Name | STEPHEN F. MITROS, M.D., P.C. |
| Practice Address |
720 Cedar St Ste 160 South Bend IN 46617-2093 |
| Practice Telephone | 5742327064 |
| Practice Fax Number | 5742327136 |
| Mailing Telephone | 5742327064 |
| Mailing Fax Number | 5742327136 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | DR. STEPHEN F MITROS (PRESIDENT) |
| Authorized Official Telephone | 5742327064 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
01030913 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
720 CEDAR ST STE 160 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407251382 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 1010 S Main St, Ste 100, Tipton, IN 46072-9753 | 2014-11-04 |
| 1871550053 | John Hur | Orthopaedic Surgery | 201 Pennsylvania Parkway, Suite 100, Indianapolis, IN 46280-1393 | 2006-04-29 |
| 1215440334 | Matthieu Zingg | Orthopaedic Surgery | 13000 E 136th St, Fishers, IN 46037-9478 | 2017-11-10 |
| 1043625361 | Phillip Bostian | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2014-06-25 |
| 1518143163 | St. Francis Hospital and Health Centers | Orthopaedic Surgery | 701 E County Line Rd, Suite 204, Greenwood, IN 46143-1072 | 2008-01-14 |
| 1356547095 | Sakkapol Ongwijitwat | Orthopaedic Surgery | 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 | 2007-06-21 |
| 1982770160 | Charles Leo Tremaine | Orthopaedic Surgery | 1950 45th Ave, Suite 200, Munster, IN 46321-3927 | 2006-11-28 |
| 1336101062 | Timothy J Williams | Orthopaedic Surgery | 1199 Hadley Rd, Mooresville, IN 46158-1788 | 2006-04-06 |
| 1083675656 | Joint Replacement Surgeons of Indiana | Orthopaedic Surgery | 1199 Hadley Rd, Mooresville, IN 46158-1788 | 2006-03-31 |
| City | SOUTH BEND |
| Zip Code | 46617 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.