Viroj Juisai, M.D., P.C.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

01039013A Issued in IN

Legal business name

VIROJ JUISAI, M.D., P.C.

Practice address

210 E 90TH Dr
Merrillville, IN 46410-8102

Phone

(219) 738-2008

Fax

(219) 738-2127

NPI assigned

Dec 5, 2008

Organization subpart

No

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

Authorized official

Name

Virjo Juisai, M.D.

Title

President

Phone

(219) 836-9024

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1467697391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212807",
            "telephone_number": "219-836-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 90TH DR",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108102",
            "telephone_number": "219-738-2008",
            "fax_number": "219-738-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIROJ JUISAI, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-05",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "JUISAI",
        "authorized_official_first_name": "VIRJO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-836-9024",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01039013A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200926860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Merrillville, IN by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.