Orthopedic and Sports Medicine Center of Northern Indiana Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA INC

Doing business as

Osmc
OSMC Goshen
Orthopedic & Sports Medicine Center1 more in Other names

Practice address

1775 E Kercher Rd
Goshen, IN 46526-6308

Phone

(574) 533-0300

Fax

(574) 971-4350

NPI assigned

May 26, 2011

Last updated

Sep 23, 2026By 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

Heidi Schaffer

Title

Coo

Phone

(574) 264-0791

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 4

• OSMC Doing business as
• OSMC Goshen Doing business as
• Orthopedic & Sports Medicine Center Doing business as
• Orthopedic & Sports Medicine Center (OSMC) Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Orthopedic and Sports Medicine Center of Northern Indiana Inc

  dba Osmc

  • Durable Medical Equipment & Medical Supplies
  • Nappanee, IN
  • NPI 1083922611

  0840260105

  Same PAC ID
• Orthopedic and Sports Medicine Center of Northern Indiana, Inc

  dba Osmc

  • Prosthetic/Orthotic Supplier
  • Elkhart, IN
  • NPI 1043425564

  0840260105

  Same PAC ID
• Orthopedic and Sports Medicine Center of Northern Indiana, Inc

  dba Osmc

  • Orthopaedic Surgery Physician
  • Elkhart, IN
  • NPI 1710085253

  0840260105

  Same PAC ID
• Orthopedic and Sports Medicine Center of Northern Indiana, Inc.

  dba Osmc

  • Durable Medical Equipment & Medical Supplies
  • Middlebury, IN
  • NPI 1285942599

  0840260105

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Orthopedic and Sports Medicine Center of Northern Indiana Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Orthopedic and Sports Medicine Center of Northern Indiana, Inc

  dba Osmc

  • Prosthetic/Orthotic Supplier
  • Elkhart, IN
  • NPI 1043425564
  NPD tax ID
• Orthopedic and Sports Medicine Center of Northern Indiana, Inc.

  dba Osmc

  • Durable Medical Equipment & Medical Supplies
  • Middlebury, IN
  • NPI 1285942599
  NPD tax ID

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1417240284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 CALIFORNIA RD STE A",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141228",
            "telephone_number": "574-264-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 E KERCHER RD",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465266308",
            "telephone_number": "574-533-0300",
            "fax_number": "574-971-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "574-264-0791"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100111780D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300024201",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSMC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSMC Goshen",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopedic & Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopedic & Sports Medicine Center (OSMC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Folakemi Olagunju, MSW
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• Ashlee Jean Ort, LAT, ATC
• Natosha Nicole Orta
• Cipriana Ortega
• John Oswalt
• Ashley Outman, MA, RDN, CD
• Becky J Overholt, RD, CSO, CD
• Sonya Overman
• Christopher John Owens, MD

• Durable Medical Equipment & Medical Supplies in Goshen, IN
• Providers in Goshen, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.