NPIMap

Organization Active NPI

Community Physicians of Indiana Inc

  • Orthopaedic Surgery Physician
  • Kokomo, IN
National Provider Identifier
1285019851
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COMMUNITY PHYSICIANS OF INDIANA INC
Practice address
2312 S Dixon Road
Suite 200
Kokomo, IN 46902-6423
Phone
(765) 865-6633
Fax
(765) 865-6634
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Mr. Anthony Javorka
Title
Coo
Phone
(317) 621-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2312 S Dixon Road
Suite 200
Kokomo, IN 46902-6423

Mailing address

2312 S Dixon Road
Suite 200
Kokomo, IN 46902-6423
Phone (765) 865-6633

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1285019851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 S DIXON ROAD",
            "address_2": "SUITE 200",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026423",
            "telephone_number": "765-865-6633",
            "fax_number": "765-865-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S DIXON ROAD",
            "address_2": "SUITE 200",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026423",
            "telephone_number": "765-865-6633",
            "fax_number": "765-865-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICIANS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "JAVORKA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "317-621-1591",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.