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BLOOMINGTON ORTHOPEDIC SPINE CLINIC LLC NPI 1669609400


NPI Information

NPI: 1669609400
Provider Name: BLOOMINGTON ORTHOPEDIC SPINE CLINIC LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
2201 W SUDBURY DR
STE C
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 333-1933
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BLOOMINGTON ORTHOPEDIC SPINE CLINIC LLC is an orthopaedic surgery in Bloomington, IN. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. BLOOMINGTON ORTHOPEDIC SPINE CLINIC LLC NPI is 1669609400. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2201 W SUDBURY DR
STE C
BLOOMINGTON, IN
ZIP 47403-812
Phone: (812) 333-1933
Fax: (812) 333-3991

The provider's authorized official is John P Hammerstein .
The authorized official title is President and has the following contact phone number (812) 333-1933.

The enumeration date for this NPI number is 6/19/2009 and was last updated on 6/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine01065333AINDIANANo
2207X00000XOrthopaedic Surgery01065333AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200949160AMEDICAIDINDIANA
26307720001MEDICARE NSCINDIANA
3262850MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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