Active NPI
Northern Indiana Orthopaedics, PC
- Orthopaedic Surgery Physician
- Hobart, IN
National Provider Identifier
1679601132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01043359A
- Legal business name
- NORTHERN INDIANA ORTHOPAEDICS, PC
- Practice address
- 1400 S Lake Park Ave Ste 200
Hobart, IN 46342-6636 - Phone
- (219) 947-5606
- Fax
- (219) 942-4742
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gene Victor Fedor, M.D.
- Title
- President
- Phone
- (219) 947-5606
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01043359A | IN | Primary |
Addresses
Primary practice location
1400 S Lake Park Ave Ste 200
Hobart, IN 46342-6636
Mailing address
PO Box 306
Demotte, IN 46310-0306
Phone (219) 947-5606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000184715 | Other | IN | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
401 15th St SE
Ste 3
Demotte, IN 46310
Phone (219) 750-9465
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Hobart, IN
- NPI 1871637272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196380800000",
"number": "1679601132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306",
"city": "DEMOTTE",
"state": "IN",
"postal_code": "463100306",
"telephone_number": "219-947-5606",
"fax_number": "219-942-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S LAKE PARK AVE STE 200",
"city": "HOBART",
"state": "IN",
"postal_code": "463426636",
"telephone_number": "219-947-5606",
"fax_number": "219-942-4742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN INDIANA ORTHOPAEDICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2007-11-30",
"status": "A",
"authorized_official_last_name": "FEDOR",
"authorized_official_first_name": "GENE",
"authorized_official_middle_name": "VICTOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-947-5606",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01043359A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000184715",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hobart, IN
- Tracy Nix
- Yvonne Elaine Nohos, MA, CCC-SLP
- Danielle Nicole Norris, FNP-C
- Emmeline B Norris, PHARM.D.
- Northern in Heart Rhythm Specialists, P.C.
- Northshore Health Centers, Inc. (NorthShore River Forest High School Clinic)
- Northwest Indiana Radiation Oncology Group, LLC
- Tammy Lynne Nowlin
- Nwi Bone & Joint PC
- Nwi Injury & Pain Care PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.