Northern Indiana Orthopaedic Specialty Associates, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01038212A Issued in IN

Legal business name

NORTHERN INDIANA ORTHOPAEDIC SPECIALTY ASSOCIATES, PC

Doing business as

Northern Indiana Hand & Wrist Center

Practice address

6301 University Commons Ste 420
South Bend, IN 46635-1416

Phone

(574) 968-2832

Fax

(574) 968-2835

NPI assigned

Nov 1, 2013

Last updated

Nov 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John H Mahon, MD

Title

Physician Owner

Phone

(574) 968-2832

Specialties & licenses 1

Addresses

Other names 1

• Northern Indiana Hand & Wrist Center Doing business as

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1871922799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 UNIVERSITY COMMONS STE 420",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351416",
            "telephone_number": "574-968-2832",
            "fax_number": "574-968-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 UNIVERSITY COMMONS STE 420",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351416",
            "telephone_number": "574-968-2832",
            "fax_number": "574-968-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INDIANA ORTHOPAEDIC SPECIALTY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "MAHON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "574-968-2832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01038212A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Indiana Hand & Wrist Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in South Bend, IN
• Providers in South Bend, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.