ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC. (NPI# 1417240284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417240284 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC. |
| Other Organization Name | OSMC GOSHEN |
| Practice Address |
1775 E Kercher Rd Goshen IN 46526-6308 |
| Mailing Address |
2310 California Rd Elkhart IN 46514-1228 |
| Practice Telephone | 5745330300 |
| Practice Fax Number | 5749714350 |
| Mailing Telephone | 5742640791 |
| Mailing Fax Number | 5742629650 |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2019-02-13 |
| Authorized Official Name | ROBIN MCLAUGHLIN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5742644163 |
| 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 | 100111780D | 05 |
| Other Name | Type Code |
|---|---|
| Orthopedic & Sports Medicine Center (OSMC) | Doing Business As Name - Organization |
| OSMC Goshen | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285942599 | Orthopedic and Sports Medicine Center of Northern Indiana, Inc. | Durable Medical Equipment & Medical Supplies | 54938 State Road 13, Middlebury, IN 46540-8608 | 2010-09-21 |
| 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 |
1775 E KERCHER RD |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802337 | Emily Mae Vanderveer | Physical Therapist | 1775 E Kercher Rd, Goshen, IN 46526-6308 | 2020-08-18 |
| 1710468400 | Jaime Rae Applegate | Physical Therapist | 1775 E Kercher Rd, Goshen, IN 46526-6308 | 2018-08-22 |
| 1639681760 | Ascendant Orthopedic Alliance, LLC | Prosthetic/Orthotic Supplier | 1775 E Kercher Rd, Goshen, IN 46526-6308 | 2017-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| 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 |
|---|---|---|---|---|
| 1780017186 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 336 Lakeview Drive, Goshen, IN 46528-9365 | 2013-08-21 |
| 1124205117 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1755 Lincolnway E, Goshen, IN 46526-6425 | 2008-01-22 |
| 1225255615 | Crystal Run Healthcare Physicians LLP | Durable Medical Equipment & Medical Supplies | 7 Hatfield Ln, Goshen, NY 10924-6757 | 2007-04-19 |
| 1205982063 | Elant At Goshen | Durable Medical Equipment & Medical Supplies | 46 Harriman Dr, Goshen, NY 10924-2410 | 2007-01-26 |
| 1740353267 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 209 Chicago Ave, Goshen, IN 46526-2311 | 2006-11-15 |
| 1699780734 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 429 W Pike St, Goshen, IN 46526-2362 | 2006-07-29 |
| 1154343879 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 3938 Midway Rd, Goshen, IN 46526-5854 | 2006-07-24 |
| 1972522951 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4024 Elkhart Rd Ste 2, Goshen, IN 46526-5801 | 2006-07-19 |
| 1669499976 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2304 Lincolnway E, Goshen, IN 46526-6421 | 2006-07-16 |
| 1588904890 | Aliton's Pharmacy Home Healthcare Centers of Goshen, Inc. | Durable Medical Equipment & Medical Supplies | 70 Hatfield Lane, Goshen, NY 10924 | 2013-02-22 |
| Find all providers in GOSHEN | ||||
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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.