Organization Active NPI

Sleep Management Institute LLC

  • Internal Medicine Physician
  • Jasper, IN
National Provider Identifier
1093828790
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01061490A Issued in IN
Legal business name
SLEEP MANAGEMENT INSTITUTE LLC
Practice address
3157 Villa Way
Jasper, IN 47546
Phone
(513) 527-3471
Fax
(513) 721-1969
NPI assigned
Aug 16, 2006
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Bruce C Croser, MD
Title
President
Phone
(513) 721-1986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01061490A IN Primary

Addresses

Primary practice location

3157 Villa Way
Jasper, IN 47546

Mailing address

3157 Villa Way
Jasper, IN 47546
Phone (513) 527-3471

Other identifiers 1

IdentifierTypeStateIssuer
200833360AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1093828790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3157 VILLA WAY",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "47546",
            "telephone_number": "513-527-3471",
            "fax_number": "513-721-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 VILLA WAY",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "47546",
            "telephone_number": "513-527-3471",
            "fax_number": "513-721-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MANAGEMENT INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "CROSER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-721-1986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061490A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200833360A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.