NPIMap

Organization Active NPI

Community Hospitals of Indiana Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Noblesville, IN
National Provider Identifier
1558504530
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
COMMUNITY HOSPITALS OF INDIANA INC
Practice address
18051 River Avenue
Suite 100
Noblesville, IN 46062-7093
Phone
(317) 770-3700
Fax
(317) 770-6199
NPI assigned
Apr 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Jeffery Kirkham
Title
Cfo
Phone
(317) 355-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

18051 River Avenue
Suite 100
Noblesville, IN 46062-7093

Mailing address

18051 River Avenue
Suite 100
Noblesville, IN 46062-7093
Phone (317) 770-3700

Other identifiers 1

IdentifierTypeStateIssuer
200940610AMedicaidIN

Other names 1

  • North RiverCross Orthopaedics & Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

18051 River Rd
Ste 100
Noblesville, IN 46062
Phone (317) 770-3700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1558504530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18051 RIVER AVENUE",
            "address_2": "SUITE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627093",
            "telephone_number": "317-770-3700",
            "fax_number": "317-770-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18051 RIVER AVENUE",
            "address_2": "SUITE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627093",
            "telephone_number": "317-770-3700",
            "fax_number": "317-770-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPITALS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "KIRKHAM",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-355-5822"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200940610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North RiverCross Orthopaedics & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.