ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC (NPI# 1710085253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710085253 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC |
| Other Organization Name | OSMC |
| Practice Address |
2310 California Rd Ste A Elkhart IN 46514-1228 |
| Practice Telephone | 5742640791 |
| Practice Fax Number | 5742629650 |
| Mailing Telephone | 5742640791 |
| Mailing Fax Number | 5742629650 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | ROBIN A. MCLAUGHLIN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5742640791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
50000745A | IN | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | 50000745A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100111780 | 05 |
| Other Name | Type Code |
|---|---|
| Orthopedic & Sports Medicine Center (OSMC) | Doing Business As Name - Organization |
| OSMC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397735 | Orthopedic and Sports Medicine Center of Northern Indiana, Inc | Prosthetic/Orthotic Supplier | 200 E Jackson Blvd Ste 130, Elkhart, IN 46516-3513 | 2019-07-05 |
| Street Address |
2310 CALIFORNIA RD STE A |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456050 | John B. Devries | Physical Therapist | 2310 California Rd Ste A, Elkhart, IN 46514-1228 | 2018-08-07 |
| 1326550351 | Ascendant Orthopedic Alliance, LLC | Prosthetic/Orthotic Supplier | 2310 California Rd Ste A, Elkhart, IN 46514-1228 | 2017-10-31 |
| 1467716225 | Jeffrey Robert Sonntag | Orthopaedic Surgery | 2310 California Rd Ste A, Elkhart, IN 46514-1228 | 2012-06-26 |
| 1902193386 | David James Pope | Orthopaedic Surgery | 2310 California Rd Ste A, Elkhart, IN 46514-1228 | 2011-07-06 |
| 1093918476 | Jon B Smucker | Orthopaedic Surgery | 2310 California Rd Ste A, Elkhart, IN 46514-1228 | 2007-06-06 |
| 1043425564 | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | Prosthetic/Orthotic Supplier | 2310 California Rd Ste A, Elkhart, IN 46514-1228 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689692196 | Michael J Hartman | Orthopaedic Surgery | 500 Arcade Ave Ste 110, Elkhart, IN 46514-2485 | 2006-07-17 |
| 1467716225 | Jeffrey Robert Sonntag | Orthopaedic Surgery | 2310 California Rd Ste A, Elkhart, IN 46514-1228 | 2012-06-26 |
| 1902193386 | David James Pope | Orthopaedic Surgery | 2310 California Rd Ste A, Elkhart, IN 46514-1228 | 2011-07-06 |
| 1033356043 | Michael Joseph Hartman PC | Orthopaedic Surgery | 500 Arcade Ave Ste 110, Elkhart, IN 46514-2485 | 2009-01-13 |
| 1114127313 | Joseph Martin Caldwell II | Orthopaedic Surgery | 2310 California Rd, Elkhart, IN 46514-1228 | 2007-07-25 |
| 1093918476 | Jon B Smucker | Orthopaedic Surgery | 2310 California Rd Ste A, Elkhart, IN 46514-1228 | 2007-06-06 |
| 1396951117 | John Mark Schramm | Orthopaedic Surgery | 2310 California Road, Elkhart, IN 46514-1228 | 2007-05-16 |
| 1053325589 | Mark A Klaassen | Orthopaedic Surgery | 2310 California Road, Ste A, Elkhart, IN 46514-1228 | 2006-07-28 |
| 1093737942 | Craig W Erekson | Orthopaedic Surgery | 2310 California Road, Elkhart, IN 46514-1228 | 2006-07-23 |
| 1336165893 | Leonard J Kibiloski | Orthopaedic Surgery | 2310 California Road, Suite A, Elkhart, IN 46514-1228 | 2006-07-15 |
| Find all providers in ELKHART | ||||
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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.