Active NPI
Hospital Medicine of Indiana PC
- Orthopaedic Surgery Physician
- Muncie, IN
National Provider Identifier
1225680705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- HOSPITAL MEDICINE OF INDIANA PC
- Practice address
- 2401 W University Ave
Muncie, IN 47303-3428 - Phone
- (765) 747-3111
- NPI assigned
- Jul 15, 2019
- Last updated
- Jul 15, 2019
- 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
- Marc Crescenzo, MD
- Title
- President
- Phone
- (865) 693-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
2966 S Church St.
PMB 315
Burlington, NC 27215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2966 S Church St
Burlington, NC 27215
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Orthopaedic Surgery Physician
- Carmel, IN
- NPI 1932177821
-
- Orthopaedic Surgery Physician
- Fort Wayne, IN
- NPI 1841607710
-
- Orthopaedic Surgery Physician
- Noblesville, IN
- NPI 1740695212
-
- Orthopaedic Trauma Physician
- Toledo, OH
- NPI 1841483351
IN, Orthopaedic Surgery
-
- Physician Assistant
- Greenwood, IN
- NPI 1700687191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563148800000",
"number": "1225680705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2966 S CHURCH ST.",
"address_2": "PMB 315",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "27215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-747-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL MEDICINE OF INDIANA PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-15",
"last_updated": "2019-07-15",
"status": "A",
"authorized_official_last_name": "CRESCENZO",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-693-1000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.