Indiana Xpress Ortho Care, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

INDIANA XPRESS ORTHO CARE, LLC

Practice address

875 Joliet St
Dyer, IN 46311-1920

Phone

(219) 440-1006

Fax

(219) 627-9802

NPI assigned

Sep 26, 2016

Organization subpart

Yes

Parent organization

XPRESS ORTHO CARE, LLCAs reported in NPPES

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

Authorized official

Name

Shelly Porter

Title

Director

Phone

(443) 255-3670

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1801345343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111920",
            "telephone_number": "219-440-1006",
            "fax_number": "219-627-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111920",
            "telephone_number": "219-440-1006",
            "fax_number": "219-627-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA XPRESS ORTHO CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "XPRESS ORTHO CARE, LLC",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "443-255-3670"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illiana Endodontics, P.C.
• Illiana Foot & Ankle Specialists, P.C.
• Obinna Charles Iluba, CRNA
• Incare Home Healthcare, Inc.
• Incare Home Healthcare, Inc.
• Informe HC Specialists, LLC
• Ahsan Intikhab, DPM
• Milica Ivanov, NP
• Steven Jarrett
• Cathy Mary Jerome, MS ED

• Orthopaedic Surgery Physician in Dyer, IN
• Providers in Dyer, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.