ORTHOPAEDICS NORTHEAST, PC (NPI# 1457311995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457311995 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDICS NORTHEAST, PC |
| Practice Address |
605 N Walnut St North Manchester IN 46962-1857 |
| Mailing Address |
5050 N Clinton St Fort Wayne IN 46825-5822 |
| Practice Telephone | 2604848551 |
| Practice Fax Number | 2604849603 |
| Mailing Telephone | 2604848551 |
| Mailing Fax Number | 2604849603 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAYMOND KUSISTO (CEO) |
| Authorized Official Telephone | 2604848551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207X00000X | Orthopaedic Surgery | 50001907A | IN | Allopathic & Osteopathic Physicians |
| X | 207L00000X | Anesthesiology | 50001907A | IN | Allopathic & Osteopathic Physicians |
| X | 208100000X | Physical Medicine & Rehabilitation | 50001907A | IN | Allopathic & Osteopathic Physicians |
| X | 213E00000X | Podiatrist | 50001907A | IN | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336109867 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 805 High St, Decatur, IN 46733-2324 | 2006-03-27 |
| 1548249386 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 11136 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2006-01-11 |
| 1609013028 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 1169 N Main St, Suite 7, Bluffton, IN 46714-1360 | 2009-01-08 |
| 1467407114 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 1169 N Main St, Suite 7, Bluffton, IN 46714-1360 | 2006-05-23 |
| 1265492706 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 885 W Connexion Way, Suite 100, Columbia City, IN 46725-1036 | 2006-03-27 |
| 1700846243 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 401 N Sawyer Rd, Kendallville, IN 46755-2568 | 2006-03-27 |
| 1043270002 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 7920 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804-4168 | 2006-03-24 |
| 1154380749 | Orthopaedics Northeast, PC | Clinic/Center | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2006-03-22 |
| 1629037353 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 710 N East St, Wabash, IN 46992-1914 | 2006-03-21 |
| 1649259607 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 2003 Stults Rd, Suite 210, Huntington, IN 46750-1291 | 2006-01-10 |
| Street Address |
605 N WALNUT ST |
| City | NORTH MANCHESTER |
| State | IN |
| Zip Code | 46962-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968762 | Shelly Prichard | Family Medicine | 605 N Walnut St, North Manchester, IN 46962-1857 | 2020-07-01 |
| 1275008724 | Melissa Lee Jimenez | Nurse Practitioner | 605 N Walnut St, North Manchester, IN 46962-1857 | 2018-10-11 |
| 1740709807 | John Bazzoni | Physical Therapist | 605 N Walnut St, North Manchester, IN 46962-1857 | 2017-09-10 |
| 1669992228 | Kelly Louise Mullen | Family Medicine | 605 N Walnut St, North Manchester, IN 46962-1857 | 2017-06-26 |
| 1306297858 | Beth Lockwood | Nurse Practitioner | 605 N Walnut St, North Manchester, IN 46962-1857 | 2016-06-27 |
| 1891807087 | Warsaw Health System LLC | Family Medicine | 605 N Walnut St, North Manchester, IN 46962-1857 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437636404 | Webbs Family Pharmacy 3 LLC | Pharmacy | 103 N Heeter St, North Manchester, IN 46962 | 2018-07-23 |
| 1063715050 | Suzanna Hicks | Counselor | 206 North Market Street, North Manchester, IN 46962 | 2010-12-13 |
| 1447372768 | Joy Elizabeth Struble | Family Medicine | 605 N. Walnut Street, North Manchester, IN 46962 | 2007-04-06 |
| 1457395006 | Lori Jill Zimmerman | Family Medicine | 605 N Walnut Street, North Manchester, IN 46962 | 2006-06-15 |
| 1346282712 | Joel Eikenberry | Emergency Medicine | 107 South Buffalo Street, North Manchester, IN 46962 | 2006-06-12 |
| 1245290923 | Nathan D Trump | Optometrist | 1201 State Road 114 E, North Manchester, IN 46962 | 2006-03-25 |
| 1649797655 | Melissa Lynnae Parker | Nurse Practitioner | 400 W 7th St, North Manchester, IN 46962 | 2017-08-30 |
| 1558760454 | Kevin Gullion | Specialist/Technologist | 604 E College Ave, North Manchester, IN 46962 | 2014-08-15 |
| 1093818791 | Hook Superx LLC | Pharmacy | 302 E Main St, N. Manchester, IN 46962 | 2006-09-07 |
| 1285613919 | Paul H. Fry-miller | Physician Assistant | 1104 N Wayne St, North Manchester, IN 46962-1001 | 2006-01-11 |
| Find all providers in zip 46962 | ||||
| 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 |
|---|---|---|---|---|
| 1164038618 | Union Associated Physicians Clinic, LLC | Orthopaedic Surgery | 801 S Main St Ste 200, Clinton, IN 47842-2261 | 2020-09-21 |
| 1699317529 | Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | 759 45th St Ste 201, Munster, IN 46321-2938 | 2019-10-11 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1679022925 | Stephen Stein | Orthopaedic Surgery | 13198 N County Road 400 E, Batesville, IN 47006-8881 | 2016-09-28 |
| 1013371277 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 17471 Wheeler Road, Suite 112, Westfield, IN 46074-6901 | 2016-04-13 |
| 1194184671 | Greenwood Orthopedics PC | Orthopaedic Surgery | 965 Emerson Parkway, Suite K, Greenwood, IN 46143-6274 | 2016-02-12 |
| 1467826032 | Franciscan Physician Network | Orthopaedic Surgery | 759 45th Street, Suite 201, Munster, IN 46321 | 2015-11-19 |
| 1285019851 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 2312 S Dixon Road, Suite 200, Kokomo, IN 46902-6423 | 2015-07-24 |
| 1730561291 | Cody Shafer | Orthopaedic Surgery | 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 | 2015-06-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MANCHESTER |
| Zip Code | 46962 |
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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.