Active NPI
Southland Bone & Joint Institute, PSC
- Orthopaedic Surgery Physician
- Munster, IN
National Provider Identifier
1659522357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 50004723A
- Legal business name
- SOUTHLAND BONE & JOINT INSTITUTE, PSC
- Practice address
- 7550 Hohman Ave Ste 400
Munster, IN 46321-1059 - Phone
- (219) 513-0660
- Fax
- (219) 513-0670
- NPI assigned
- Oct 1, 2008
- Organization subpart
- Yes
- Parent organization
- SOUTHLAND BONE & JOINT INSTITUTE, S.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendi L Jeffers
- Title
- Office Manager
- Phone
- (708) 283-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 50004723A | IN | Primary |
Addresses
Primary practice location
7550 Hohman Ave Ste 400
Munster, IN 46321-1059
Mailing address
PO Box 4097
Aurora, IL 60507-4097
Phone (708) 283-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632336 | Other | IL | BLUE SHIELD PROVIDER NUMBER |
National Provider Directory
National Provider Directory- Part of
- Southland Bone JNT Inst SC
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Olympia Fields, IL
- NPI 1912908682
-
- Orthopaedic Surgery Physician
- Flossmoor, IL
- NPI 1760483390
-
- Orthopaedic Surgery Physician
- Flossmoor, IL
- NPI 1487655130
-
- Orthopaedic Surgery Physician
- Olympia Fields, IL
- NPI 1730181306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233705600000",
"number": "1659522357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4097",
"city": "AURORA",
"state": "IL",
"postal_code": "605074097",
"telephone_number": "708-283-2600",
"fax_number": "708-283-1635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7550 HOHMAN AVE STE 400",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211059",
"telephone_number": "219-513-0660",
"fax_number": "219-513-0670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHLAND BONE & JOINT INSTITUTE, PSC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHLAND BONE & JOINT INSTITUTE, S.C.",
"enumeration_date": "2008-10-01",
"last_updated": "2009-02-04",
"status": "A",
"authorized_official_last_name": "JEFFERS",
"authorized_official_first_name": "WENDI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "708-283-2600"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "50004723A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER NUMBER",
"identifier": "01632336",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.