CENTRAL INDIANA ORTHOPEDICS PC (NPI# 1972619948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972619948 |
| Entity Type | Organization |
| Organization Name | CENTRAL INDIANA ORTHOPEDICS PC |
| Practice Address |
1809 S Main St Upland IN 46989-9242 |
| Mailing Address |
Po Box 1643 Muncie IN 47308-1643 |
| Practice Telephone | 7652847738 |
| Practice Fax Number | 7652133713 |
| Mailing Telephone | 7652847738 |
| Mailing Fax Number | 7652133713 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | KARLA HOSTETLER (CEO) |
| Authorized Official Telephone | 7652847738 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 000000102884 | 01 |
| IN | 100106820 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407291958 | Central Indiana Orthopedics PC | Orthopaedic Surgery | 13914 Southeastern Pkwy, Suite 304 & 320, Fishers, IN 46037-7127 | 2013-05-09 |
| 1174681803 | Central Indiana Orthopedics PC | Orthopaedic Surgery | 13121 Olio Rd, Fishers, IN 46037-7237 | 2006-12-05 |
| 1225144744 | Central Indiana Orthopedics PC | Family Medicine | 3631 N Morrison Rd, Suite 200, Muncie, IN 47304-5547 | 2006-08-21 |
| 1841305943 | Central Indiana Orthopedics PC | Family Medicine | 1331 S A St, Elwood, IN 46036-1942 | 2006-08-20 |
| Street Address |
1809 S MAIN ST |
| City | UPLAND |
| State | IN |
| Zip Code | 46989-9242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912973702 | Helen G Riegle | Family Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2006-02-23 |
| 1699094870 | Indiana University Health Ball Memorial Physicians, Inc. | Internal Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2010-05-27 |
| 1972740868 | Midwest Healthstrategies, Inc. | Family Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2009-01-14 |
| 1902996390 | Susan Marie Ralston | Pharmacist | 1809 S Main St, Upland, IN 46989 | 2006-10-13 |
| 1962433763 | Cardinal Health Partners, LLC | Family Medicine | 1809 S Main St, Upland, IN 46989 | 2006-07-06 |
| 1669411245 | Stephen A Phillips | Family Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2006-06-06 |
| 1801862677 | Shannon D Riegle | Family Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2006-02-23 |
| 1942276720 | Heidi M Lakanen | Internal Medicine | 1809 S Main St, Upland, IN 46989-9242 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740621440 | Erin L Hewitt | Occupational Therapy Assistant | 33 E Washington St, Apt B, Upland, IN 46989 | 2013-07-10 |
| 1972663110 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1564 University Blvd, Upland, IN 46989 | 2006-12-11 |
| 1528559697 | Anne E Campbell | Nurse Practitioner | 1809 S Main Street, Upland, IN 46989 | 2018-05-24 |
| 1285939306 | Troy Frederick Tiberi | Counselor | 63 N Main St, Upland, IN 46989 | 2011-01-20 |
| 1730157546 | Emily Ann Tumbleson | Specialist/Technologist | 236 W Reade Ave, Upland, IN 46989-1001 | 2006-03-08 |
| 1033520614 | Kenneth Hackman | Specialist/Technologist | 236 W Reade Ave, Upland, IN 46989-1001 | 2014-05-16 |
| 1639508351 | Patience Ramsey | Specialist/Technologist | 236 W Reade Ave, Upland, IN 46989-1001 | 2013-11-04 |
| 1699719542 | Jeffrey Wayne Marsee | Health Educator | 236 W Reade Ave, Health and Exercise Science, Upland, IN 46989-1001 | 2006-06-15 |
| 1639701279 | Bruce Holder | Counselor | 525 S Main St, Upland, IN 46989-9101 | 2020-02-11 |
| 1306287677 | Martha Nicole Mcclurg | Dietitian, Registered | 80 E Bragg Ave, Upland, IN 46989-9178 | 2013-07-15 |
| Find all providers in zip 46989 | ||||
| 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 |
|---|---|---|---|---|
| 1508132051 | Bunsri Thanasophon | Orthopaedic Surgery | 285 East 24th Street, Upland, CA 91784 | 2012-03-29 |
| 1194820423 | Scott Goldman | Orthopaedic Surgery | 400 N Mountain Avenue, Ste 310, Upland, CA 91786 | 2006-09-13 |
| 1245285378 | Raymond M Wolfe | Orthopaedic Surgery | One Medical Ctr Blvd, Ccmc Pob II Ste 324, Upland, PA 19013 | 2006-05-24 |
| 1528365319 | Nation Medical Group | Orthopaedic Surgery | 954 W Foothill Blvd, Suite B, Upland, CA 91786-3782 | 2011-02-14 |
| 1225083256 | James M Zurbach | Orthopaedic Surgery | One Medical Ctr Blvd, Ccmc Pob II Ste 324, Upland, PA 19013 | 2006-05-25 |
| 1912953670 | Charles Dewitt Hummer IIi | Orthopaedic Surgery | One Medical Ctr Blvd, Ccmc Pob II Ste 324, Upland, PA 19013 | 2006-05-25 |
| 1700832474 | Frank P Giammattei | Orthopaedic Surgery | One Medical Ctr Blvd, Ccmc Pob II Ste 324, Upland, PA 19013 | 2006-05-25 |
| 1508812272 | Evan K Bash | Orthopaedic Surgery | One Medical Ctr Blvd, Ccmc Pob II Ste 324, Upland, PA 19013 | 2006-05-25 |
| 1417903188 | Roland Bruce Lutz | Orthopaedic Surgery | 1 Medical Center Blvd, Ccmc Pobii Ste 324, Upland, PA 19013-3902 | 2006-05-25 |
| 1982650669 | James Thomas Mcglynn | Orthopaedic Surgery | One Medical Ctr Blvd, Ccmc Pob II Ste 324, Upland, PA 19013 | 2006-05-25 |
| Find all providers in UPLAND | ||||
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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.