Sleep Management Institute LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

01058606A Issued in IN

Legal business name

SLEEP MANAGEMENT INSTITUTE LLC

Practice address

3157 Villa Way
Jasper, IN 47546-1876

Phone

(812) 481-1780

Fax

(812) 481-1786

NPI assigned

Jun 5, 2009

Last updated

Aug 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Connie M Goelzhauser

Title

Office Manager

Phone

(812) 759-6164

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Bruce Clayton Corser, MD

  • Pulmonary Disease Physician
  • Cincinnati, OH
  • NPI 1790727030

  Sleep Medicine

  NPD
• Mark G Goetting, MD

  • Neurology Physician
  • Portage, MI
  • NPI 1093778755
  NPD
• Sherri L Ten Pas, DO

  • Sleep Medicine (Internal Medicine) Physician
  • Tyler, TX
  • NPI 1295706471
  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1225264112",
    "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": "475461876",
            "telephone_number": "812-481-1780",
            "fax_number": "812-481-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3157 VILLA WAY",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461876",
            "telephone_number": "812-481-1780",
            "fax_number": "812-481-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MANAGEMENT INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "GOELZHAUSER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-759-6164",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01058606A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200833360A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000598539",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Sherohman, FNP-C
• Devdas N. Sheth, M.D.
• Marina Sidra Gerges
• Ava Elizabeth Sinclair
• Sleep Management Institute LLC
• Amanda Jo Smith-Bradway, D.C
• Karen Smith, NP
• Michael James Snell, APRN
• Cassandra Snyder, PTA
• Chestina I Snyder

• Sleep Medicine (Internal Medicine) Physician in Jasper, IN
• Providers in Jasper, IN by specialty
• Sleep Medicine (Internal Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.