Cyril Atseff, CPED

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

2342 Issued in MN

Practice address

307 Main St
Hobart, IN 46342-4441

Phone

(219) 947-7463

Fax

(219) 947-3714

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306949474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463424441",
            "telephone_number": "219-947-7463",
            "fax_number": "219-947-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463424441",
            "telephone_number": "219-947-7463",
            "fax_number": "219-947-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATSEFF",
        "first_name": "CYRIL",
        "name_prefix": "Mr.",
        "credential": "CPED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "MN",
            "license": "2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.