Active NPI
Munster Orthopaedic Institute, LLC
- Durable Medical Equipment & Medical Supplies
- Saint John, IN
National Provider Identifier
1114257599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 01054586A
- Legal business name
- MUNSTER ORTHOPAEDIC INSTITUTE, LLC
- Practice address
- 9660 Wicker Ave
Saint John, IN 46373-9487 - Phone
- (219) 836-2225
- Fax
- (219) 836-3158
- NPI assigned
- Jan 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Manuel Tioco, M.D.
- Title
- Owner/Physician
- Phone
- (219) 836-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 01054586A | IN | Primary |
Addresses
Primary practice location
9660 Wicker Ave
Saint John, IN 46373-9487
Mailing address
9136 Columbia Ave
Munster, IN 46321-2907
Phone (219) 836-2225
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1356048000000",
"number": "1114257599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9136 COLUMBIA AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212907",
"telephone_number": "219-836-2225",
"fax_number": "219-836-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9660 WICKER AVE",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463739487",
"telephone_number": "219-836-2225",
"fax_number": "219-836-3158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUNSTER ORTHOPAEDIC INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-06",
"last_updated": "2012-12-21",
"status": "A",
"authorized_official_last_name": "TIOCO",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "219-836-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IN",
"license": "01054586A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint John, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.