Central Indiana Orthopedics, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CENTRAL INDIANA ORTHOPEDICS, LLC

Practice address

500 W Votaw St
Portland, IN 47371-1322

Phone

(260) 726-7131

NPI assigned

Oct 31, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Victor P Moran

Title

Executive Director/Cfo

Phone

(765) 284-7738

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Indiana Orthopedics

  • Orthopaedic Surgery Physician
  • Carmel, IN
  • NPI 1609981711

  O20040325000156

  Same enrollment
• Central Indiana Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Muncie, IN
  • NPI 1063422137

  O20040325000156

  Same enrollment
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Anderson, IN
  • NPI 1578678751

  O20040325000156

  Same enrollment
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Marion, IN
  • NPI 1619694726

  O20040325000156

  Same enrollment
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Elwood, IN
  • NPI 1841305943

  O20040325000156

  Same enrollment
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Fishers, IN
  • NPI 1962061135

  O20040325000156

  Same enrollment
• Central Indiana Orthopedics, LLC

  • Orthopaedic Surgery Physician
  • Upland, IN
  • NPI 1972619948

  O20040325000156

  Same enrollment
• Community Hospital of Anderson & Madison County, Inc

  • General Acute Care Hospital
  • Anderson, IN
  • NPI 1972500452

  O20040325000156

  Same enrollment
• St. Vincent Anderson Regional Hospital, Inc.

  • General Acute Care Hospital
  • Anderson, IN
  • NPI 1679578850

  O20040325000156

  Same enrollment

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph C Duncan, MD

  • Orthopaedic Surgery of the Spine Physician
  • Muncie, IN
  • NPI 1093755753

  Orthopaedic Surgery

  NPD
• Kenneth H. Haller, DO

  • Sports Medicine (Family Medicine) Physician
  • Muncie, IN
  • NPI 1295741197
  NPD
• Thomas Lawrence Salsbury, MD

  • Orthopaedic Surgery Physician
  • Winchester, IN
  • NPI 1255377115

  Orthopaedic Surgery

  NPD

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1912302001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1643",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473081643",
            "telephone_number": "765-284-7738",
            "fax_number": "765-213-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W VOTAW ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711322",
            "telephone_number": "260-726-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA ORTHOPEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CFO",
        "authorized_official_telephone_number": "765-284-7738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106820",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000102884",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Bruns, NP
• Herman Burgermeister, M.D.
• Ashley N Burnett, PHARMD
• Veronica L Butts, PHARMD
• C. H. Miller, D.D.S.
• Clear Chiropractic Indiana, LLC
• Clear Chiropractic, P.C.
• James P Clear, DC
• Jenni Clear, DC
• Tellissa A Colglazier, LCSW

• All providers in Portland, IN
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.