Jiroj Thephasdin, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

01026596A Issued in IN

Practice address

8695 Connecticut St Ste D
Merrillville, IN 46410-6240

Phone

(219) 769-3812

Fax

(219) 736-5341

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346378254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 CONNECTICUT ST STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106240",
            "telephone_number": "219-769-3812",
            "fax_number": "219-736-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 CONNECTICUT ST STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106240",
            "telephone_number": "219-769-3812",
            "fax_number": "219-736-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEPHASDIN",
        "first_name": "JIROJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01026596A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "0091108085",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF INDIANA",
            "identifier": "306516",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Methodist Hospitals, Inc.
• The Methodist Hospitals, Inc.
• The Neurological Institute and Specialty Centers PC
• The Right Path Family Services, LLC
• The Sheet People
• Emershia Therath Abraham, RBT
• Carolyn Thiel
• Marilyn Thomas, LCAC, MHS, MSED
• Marilynne Thomas, OTR-L
• Megan A Thomas, LCSW

• Neurological Surgery Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Neurological Surgery Physician in Indiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.