Organization Active NPI

Bone & Joint Specialists, PC

  • Physician Assistant
  • Merrillville, IN
National Provider Identifier
1790189850
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001727A Issued in IN
Legal business name
BONE & JOINT SPECIALISTS, PC
Practice address
9001 Broadway
Merrillville, IN 46410-7041
Phone
(219) 795-3360
Fax
(219) 472-0494
NPI assigned
Oct 20, 2014
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Cori Johnson
Title
Division Manager
Phone
(219) 795-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001727A IN Primary

Addresses

Primary practice location

9001 Broadway
Merrillville, IN 46410-7041

Mailing address

9001 Broadway
Merrillville, IN 46410-7041
Phone (219) 795-3360

Other identifiers 1

IdentifierTypeStateIssuer
10001727AOtherINSTATE LICENSE

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22358/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1790189850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107041",
            "telephone_number": "219-795-3360",
            "fax_number": "219-472-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107041",
            "telephone_number": "219-795-3360",
            "fax_number": "219-472-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE & JOINT SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "DIVISION MANAGER",
        "authorized_official_telephone_number": "219-795-3360"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001727A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10001727A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.