NPIMap

Organization Active NPI

Orthopaedics Northeast, PC

  • Durable Medical Equipment & Medical Supplies
  • Warsaw, IN
National Provider Identifier
1144209115
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
50001907A Issued in IN
Legal business name
ORTHOPAEDICS NORTHEAST, PC
Practice address
1500 Provident Dr
Suite B
Warsaw, IN 46580-3291
Phone
(574) 269-8301
Fax
(574) 269-8302
NPI assigned
Jan 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John C Pritchard, MDNPI 1932100575
Title
President
Phone
(260) 484-8551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 80

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930036343 IN DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9234024878 Practice locations: Warsaw, IN

National Provider Directory

National Provider Directory

Locations

1500 Provident Dr
Ste B
Warsaw, IN 46580
Phone (574) 269-8301

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50001907A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1500 Provident Dr
Suite B
Warsaw, IN 46580-3291

Mailing address

5050 N Clinton St
Fort Wayne, IN 46825-5822
Phone (260) 484-8551

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 28, 2010.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1144209115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255822",
            "telephone_number": "260-484-8551",
            "fax_number": "260-484-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PROVIDENT DR",
            "address_2": "SUITE B",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803291",
            "telephone_number": "574-269-8301",
            "fax_number": "574-269-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDICS NORTHEAST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-484-8551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "50001907A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.