NPIMap

Organization Active NPI

Institute for Orthopedic and Nerve Surgery

  • Orthopaedic Surgery Physician
  • Mishawaka, IN
National Provider Identifier
1063460160
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
02002335A Issued in IN
Legal business name
INSTITUTE FOR ORTHOPEDIC AND NERVE SURGERY
Practice address
230 E Day Rd
Suite 130
Mishawaka, IN 46545-3408
Phone
(574) 247-4667
Fax
(574) 271-4458
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Gerard Akre, DO
Title
President
Phone
(574) 247-4667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 02002335A IN Primary

Addresses

Primary practice location

230 E Day Rd
Suite 130
Mishawaka, IN 46545-3408

Mailing address

230 E Day Rd
Suite 130
Mishawaka, IN 46545
Phone (574) 247-4667

Other identifiers 1

IdentifierTypeStateIssuer
200335260AMedicaidIN

National Provider Directory

National Provider Directory

Locations

230 E Day Rd
Ste 130
Mishawaka, IN 46545
Phone (574) 247-4667

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1063460160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "SUITE 130",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-247-4667",
            "fax_number": "574-271-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "SUITE 130",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453408",
            "telephone_number": "574-247-4667",
            "fax_number": "574-271-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR ORTHOPEDIC AND NERVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "AKRE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-247-4667",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02002335A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200335260A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.