C & I Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01068413A Issued in IN

Legal business name

C & I MEDICAL, LLC

Practice address

1910 W Royale Dr
Muncie, IN 47304-2264

Phone

(765) 289-1011

Fax

(765) 289-3024

NPI assigned

Jun 15, 2012

Organization subpart

No

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

Authorized official

Name

Manu Joseph, M.D.

Title

Member

Phone

(765) 729-2769

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1952663817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 W ABERDALE LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046733",
            "telephone_number": "765-289-1011",
            "fax_number": "765-289-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042264",
            "telephone_number": "765-289-1011",
            "fax_number": "765-289-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & I MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "MANU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "765-729-2769",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01068413A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Kathleen Butler
• Michael Grant Butler, MA
• Kayla Byers, LMHCA
• James R Byrn, MD
• Robert W Byrn, MD
• Jenna Marie Cacciola, M.A.
• David Anthony Cadogan, M.D.
• Stacey Patrice Cadogan, ACNP
• Britton Cain
• Jay P Cain

• Internal Medicine Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.