Organization
CENTRAL INDIANA ORTHOPEDICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MORAN (EXEC DIR/ CFO)
(765) 284-4266
Entity
Organization
Contact information
Practice address
14300 E 138TH STE B, FISHERS, IN 46037-0051
(317) 773-4301
(765) 608-3687
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
06/11/2019
Last updated
10/10/2025
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