Charles Leo Tremaine, MD

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

01035537A Issued in IN

Practice address

1950 45TH Ave
Suite 200
Munster, IN 46321-3927

Phone

(219) 924-6544

Fax

(219) 922-8502

NPI assigned

Nov 28, 2006

Last updated

Jun 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1982770160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 45TH AVE",
            "address_2": "SUITE 200",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213927",
            "telephone_number": "219-924-6544",
            "fax_number": "219-922-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 45TH AVE",
            "address_2": "SUITE 200",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213927",
            "telephone_number": "219-924-6544",
            "fax_number": "219-922-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMAINE",
        "first_name": "CHARLES",
        "middle_name": "LEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IN",
            "license": "01035537A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100202530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Tovar
• Alysia Turner Townsend, M.D.
• Tsuyoshi Toyama, MD
• Transcend Medical Supplies, LLC
• TRC - Indiana LLC (Comprehensive Renal Care Munster)
• Susan P. Tremaine, RN
• Angela Trent, PMHNP
• Triark LLC
• Carolyn Huyen Trieu, PA-C
• Trimboli Bogie Inc PC

• Adult Reconstructive Orthopaedic Surgery Physician in Munster, IN
• Providers in Munster, IN by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.