Organization Active NPI

Community Physicians of Indiana Inc

  • Orthopaedic Surgery Physician
  • Noblesville, IN
National Provider Identifier
1093190381
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COMMUNITY PHYSICIANS OF INDIANA INC
Practice address
9669 E 146TH St
Suite 330
Noblesville, IN 46060-5006
Phone
(317) 355-2663
Fax
(317) 355-9204
NPI assigned
Jul 28, 2015
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Mr. Anthony Javorka
Title
Coo
Phone
(317) 621-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

9669 E 146TH St
Suite 330
Noblesville, IN 46060-5006

Mailing address

9669 E 146TH St
Suite 330
Noblesville, IN 46060-5006
Phone (317) 355-2663

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0950852Community Physicians of Indiana Inc9669 E 146TH St Ste 200, Noblesville, IN 46060Certificate of waiverApr 26, 2027
15D1066256Community Physicians of Indiana Inc9669 E 146TH St Ste 250, Noblesville, IN 46060Certificate of waiverJul 5, 2028
15D2019335Community Physicians of Indiana Inc9669 E 146TH St Ste 310, Noblesville, IN 46060Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9669 E 146th St
Ste 330
Noblesville, IN 46060
Phone (317) 355-2663

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1093190381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 E 146TH ST",
            "address_2": "SUITE 330",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605006",
            "telephone_number": "317-355-2663",
            "fax_number": "317-355-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 E 146TH ST",
            "address_2": "SUITE 330",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605006",
            "telephone_number": "317-355-2663",
            "fax_number": "317-355-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICIANS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "JAVORKA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "317-621-1591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.