Viroj Juisai, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

010-39013 Issued in IN

Practice address

210 E 90TH Dr
Merrillville, IN 46410-8102

Phone

(219) 738-2008

Fax

(219) 738-2127

NPI assigned

Aug 30, 2006

Last updated

Mar 12, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake-Porter Cardiovascular PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Valparaiso, IN
  • NPI 1972694669
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1114037371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212807",
            "telephone_number": "219-836-9024",
            "fax_number": "219-836-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 90TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108102",
            "telephone_number": "219-738-2008",
            "fax_number": "219-738-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUISAI",
        "first_name": "VIROJ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "010-39013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100383490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Refkin, D.C., P.C.
• Benita Joseph, DO
• Joseph Patrick Joyce, LCSW
• Dikah Joyner, DPT
• Christine M Juda
• Rahul Naresh Julka, M.D.
• Taliya Julkes
• Thomas K Kalmbach, MD
• Carrie Jo Kamp, FNP
• Timothy John Kamp, D.M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Indiana

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