Advanced Orthopedics and Sports Medicine LLC
Organization Active NPI Orthopaedic Surgery Physician · Crown Point, IN
NPI 1154801694 · NPPES record last updated Nov 27, 2018
Key facts
- NPI
- 1154801694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 01072457A (IN)
- Legal business name
- ADVANCED ORTHOPEDICS AND SPORTS MEDICINE LLC
- Practice address
- 1129 Merrillville Rd
Crown Point, IN 46307-2710 - Phone
- (219) 213-6630
- Fax
- (337) 210-7775
- NPI assigned
- Aug 15, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Jennifer Lynn Bayer, MD
- Title
- President/Owner
- Phone
- (219) 213-6630
Practitioners 3
-
Jennifer Lynn Bayer, M.D.
-
Joseph Mitchell Kountz, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180926002595 | IN | Part B Supplier - Clinic/Group Practice | 9638420854 |
Receives reassigned benefits from 3 practitioners Practice locations: Crown Point, IN |
| O20190930002455 | IN | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 9638420854 | Practice locations: Crown Point, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 01072457A | IN | Yes |
Addresses
Primary practice location
1129 Merrillville Rd
Crown Point, IN 46307-2710
Mailing address
1129 Merrillville Rd
Crown Point, IN 46307-2710
Phone (219) 213-6630
Other names
- Advanced Orthopedics
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All providers in Crown Point, IN · Orthopaedic Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.