ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC. (NPI# 1285942599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285942599 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC. |
| Other Organization Name | ORTHOPEDIC & SPORTS MEDICINE CENTER (OSMC) |
| Practice Address |
54938 State Road 13 Middlebury IN 46540-8608 |
| Mailing Address |
2310 California Rd Elkhart IN 46514-1228 |
| Practice Telephone | 5748258685 |
| Practice Fax Number | 5748251256 |
| Mailing Telephone | 5742640179 |
| Mailing Fax Number | 5742629650 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | ROBIN MCLAUGHLIN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5742640179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100111780B | 05 |
| Other Name | Type Code |
|---|---|
| Orthopedic & Sports Medicine Cener (OSMC) | Doing Business As Name - Organization |
| Orthopedic & Sports Medicine Center (OSMC) | Doing Business As Name - Organization |
| OSMC Middlebury | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417240284 | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | Durable Medical Equipment & Medical Supplies | 1775 E Kercher Rd, Goshen, IN 46526-6308 | 2011-05-26 |
| 1083922611 | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | Durable Medical Equipment & Medical Supplies | 3000 N Main St, Nappanee, IN 46550-8975 | 2010-09-16 |
| 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 |
| Street Address |
54938 STATE ROAD 13 |
| City | MIDDLEBURY |
| State | IN |
| Zip Code | 46540-8608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043210180 | Dawn M Detwiler Berger | Emergency Medicine | 54938 State Road 13, Middlebury, IN 46540-8608 | 2005-07-29 |
| 1033621164 | Ascendant Orthopedic Alliance, LLC | Prosthetic/Orthotic Supplier | 54938 State Road 13, Middlebury, IN 46540-8608 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104312172 | Deborah Carol Nethercutt | Nurse Practitioner | 226 W Us Highway 20, Middlebury, IN 46540 | 2018-07-02 |
| 1699277160 | Playful Healing, Inc. | Clinic/Center | 300 Wayne Street, Suite A, Middlebury, IN 46540 | 2018-03-01 |
| 1932648839 | Greta Slabach | Prevention Professional | 205 Southern Cross Dr, Middlebury, IN 46540 | 2017-02-13 |
| 1043460652 | Patricia Sue Berry | Licensed Practical Nurse | 303 Twin Oaks Dr., Middlebury, IN 46540 | 2008-09-19 |
| 1629136536 | Eunice Munn | Social Worker | 106 East Berry Street, Middlebury, IN 46540 | 2006-12-04 |
| 1750354890 | Donald L Munn | Marriage & Family Therapist | 106 E Berry St, Middlebury, IN 46540 | 2006-02-09 |
| 1629524988 | Firefly Home Care LLC | In Home Supportive Care | 100 South Main Street, Middlebury, IN 46540 | 2016-08-28 |
| 1396803805 | Donald Munn | Social Worker | 106 East Berry Street, Middlebury, IN 46540 | 2006-12-05 |
| 1306869144 | G. Weldon Friesen | Family Medicine | 206 W Warren St, Middlebury, IN 46540-0459 | 2006-07-25 |
| 1790707974 | Elizabeth B Gingrich | Family Medicine | 206 W. Warren St, Middlebury, IN 46540-0459 | 2006-07-24 |
| Find all providers in zip 46540 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763442 | Invisions of Connecticut, Inc. | Durable Medical Equipment & Medical Supplies | 1579 Straits Tpke Ste 1d, Middlebury, CT 06762-1835 | 2020-02-26 |
| 1154892669 | Vermont Skin Specialist | Durable Medical Equipment & Medical Supplies | 105 Court St Ste 301, Middlebury, VT 05753-1475 | 2018-12-10 |
| 1891275590 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 199 Park Road Ext Ste A, Middlebury, CT 06762-1833 | 2018-08-21 |
| 1588047153 | Princess Corset & Lingerie Shop II, LLC | Durable Medical Equipment & Medical Supplies | 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 | 2015-07-01 |
| 1518088723 | Stride Physical Therapy and Pedorthic Center, PC | Durable Medical Equipment & Medical Supplies | 80 Turnpike Dr, Unit 1, Middlebury, CT 06762-1830 | 2007-04-03 |
| 1033285796 | Porter Health Systems, Inc. | Durable Medical Equipment & Medical Supplies | 111 Maple St, Middlebury, VT 05753-1102 | 2006-11-27 |
| 1659489037 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 260 Court St Ste 6, Middlebury, VT 05753-4427 | 2006-08-27 |
| 1669488870 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 263 Court Street, Middlebury, VT 05753-8986 | 2006-07-31 |
| 1306829197 | J & L Medical Services, LLC | Durable Medical Equipment & Medical Supplies | 199 Park Road Ext, Middlebury, CT 06762-1832 | 2005-11-25 |
| 1780107326 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 263 Court St, Middlebury, VT 05753-8986 | 2017-07-25 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 46540 |
Please comment or provide details below to improve the information on ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC..
| 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.