Organization
ORTHOPEDIC AND SPORTS MEDICINE CENTER OF NORTHERN INDIANA, INC
Active
Other names
Orthopedic & Sports Medicine Center (OSMC), OSMC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN A. MCLAUGHLIN (CHIEF OPERATING OFFICER)
(574) 264-0791
Entity
Organization
Contact information
Practice address
2310 CALIFORNIA RD STE A, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Mailing address
2310 CALIFORNIA RD STE A, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
50000745A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
50000745A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100111780
—
IN
Enumeration date
09/20/2006
Last updated
02/05/2019
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