Organization Active NPI

Specialty Orthopedics Inc

  • Orthopaedic Surgery Physician
  • Plymouth, IN
National Provider Identifier
1801929724
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SPECIALTY ORTHOPEDICS INC
Practice address
2855 Miller Dr
Suite 109
Plymouth, IN 46563-8091
Phone
(574) 935-9395
Fax
(574) 935-0080
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Anthony A McPherron, D.O.NPI 1487645990
Title
President
Phone
(574) 935-9395

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2855 Miller Dr
Suite 109
Plymouth, IN 46563-8091

Mailing address

PO Box 1507
Plymouth, IN 46563-5507
Phone (574) 935-9395

Other identifiers 1

IdentifierTypeStateIssuer
2002777260MedicaidIN

National Provider Directory

National Provider Directory

Locations

1001 S Edgewood Dr
Ste A
Knox, IN 46534
Phone (219) 772-6601

Practitioners & affiliated clinicians

Practitioners 3

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1801929724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1507",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465635507",
            "telephone_number": "574-935-9395",
            "fax_number": "574-935-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR",
            "address_2": "SUITE 109",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638091",
            "telephone_number": "574-935-9395",
            "fax_number": "574-935-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY ORTHOPEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MCPHERRON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-935-9395",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002777260",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.