NPIMap

Organization Active NPI

Community Physicians of Indiana Inc

  • Podiatrist
  • Indianapolis, IN
National Provider Identifier
1881078202
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
COMMUNITY PHYSICIANS OF INDIANA INC
Practice address
3660 Guion Rd
Suite 230B
Indianapolis, IN 46222-1691
Phone
(317) 644-5005
Fax
(317) 644-5006
NPI assigned
Jul 15, 2015
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Mr. Anthony Javorka
Title
Coo
Phone
(317) 621-1591

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU
Podiatrist 213E00000X NU Primary
Sports Medicine Podiatrist 213ES0000X NU

Addresses

Primary practice location

3660 Guion Rd
Suite 230B
Indianapolis, IN 46222-1691

Mailing address

3660 Guion Rd
Suite 230B
Indianapolis, IN 46222-1691
Phone (317) 644-5005

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1881078202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 GUION RD",
            "address_2": "SUITE 230B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221691",
            "telephone_number": "317-644-5005",
            "fax_number": "317-644-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 GUION RD",
            "address_2": "SUITE 230B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221691",
            "telephone_number": "317-644-5005",
            "fax_number": "317-644-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICIANS OF INDIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "JAVORKA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "317-621-1591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

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