| Central Indiana Orthopedics Llc | |
|
3600 W Bethel Ave Muncie IN 47304-5407 | |
| (765) 284-7738 | |
| (765) 213-3713 |
| Full Name | Central Indiana Orthopedics Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 3600 W Bethel Ave, Muncie, Indiana |
| Authorized Official Name and Position | Victor P Moran (CEO) |
| Authorized Official Contact | 7652847738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Indiana Orthopedics Llc 3600 W Bethel Ave Muncie IN 47304-5407 Ph: () - | Central Indiana Orthopedics Llc 3600 W Bethel Ave Muncie IN 47304-5407 Ph: (765) 284-7738 |
| NPI Number | 1063422137 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 01/07/2026 |
| Medicare PECOS PAC ID | 5698667822 |
|---|---|
| Medicare Enrollment ID | O20040325000156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063422137 | NPI | - | NPPES |
| 100106820 | Medicaid | IN | |
| 000000102884 | Other | IN | ANTHEM PIN |
| Provider Name | Jeremy J Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124034038 PECOS PAC ID: 0749270940 Enrollment ID: I20040518000291 |
| Provider Name | William L Hall |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1073512588 PECOS PAC ID: 3971581521 Enrollment ID: I20040709001013 |
| Provider Name | Adelbert J Mencias |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1437131489 PECOS PAC ID: 5193799302 Enrollment ID: I20040824000298 |
| Provider Name | Michael J Lisch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669497020 PECOS PAC ID: 5698738508 Enrollment ID: I20041110001023 |
| Provider Name | Randolph J Ferlic |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1912989922 PECOS PAC ID: 4082678438 Enrollment ID: I20041116000000 |
| Provider Name | Peter C Manzelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205905106 PECOS PAC ID: 2860431673 Enrollment ID: I20050502000394 |
| Provider Name | Julie Michelle Cummins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801811476 PECOS PAC ID: 8123044260 Enrollment ID: I20051018001215 |
| Provider Name | Dana G Brackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164499067 PECOS PAC ID: 4880609924 Enrollment ID: I20060210000551 |
| Provider Name | Brian L Badman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801848783 PECOS PAC ID: 8426087412 Enrollment ID: I20060302000415 |
| Provider Name | Li Chen |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1992758189 PECOS PAC ID: 0547230807 Enrollment ID: I20060406000631 |
| Provider Name | Jeffrey Yergler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750360079 PECOS PAC ID: 3870510472 Enrollment ID: I20060710000013 |
| Provider Name | Jessica A Preissing |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053469577 PECOS PAC ID: 6507867736 Enrollment ID: I20070130000660 |
| Provider Name | Ma Cristina U Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194827071 PECOS PAC ID: 1355445636 Enrollment ID: I20070326000373 |
| Provider Name | Joseph C Duncan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093755753 PECOS PAC ID: 0244203909 Enrollment ID: I20070412000635 |
| Provider Name | Christine Zmyslo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689733727 PECOS PAC ID: 9638274418 Enrollment ID: I20070424000308 |
| Provider Name | Lisa M Wolff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669520185 PECOS PAC ID: 7911003298 Enrollment ID: I20070502000544 |
| Provider Name | Maureen K Purcell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447363510 PECOS PAC ID: 8729185418 Enrollment ID: I20070514000482 |
| Provider Name | Jonathan A Eash |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356557912 PECOS PAC ID: 9830280098 Enrollment ID: I20070802000498 |
| Provider Name | Alisha M Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194842617 PECOS PAC ID: 2668565870 Enrollment ID: I20070904000667 |
| Provider Name | Brian L Ratigan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952505844 PECOS PAC ID: 8729152343 Enrollment ID: I20080730000836 |
| Provider Name | Daniel Desalle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902959026 PECOS PAC ID: 4981779071 Enrollment ID: I20080825000618 |
| Provider Name | Brent M Damer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407028392 PECOS PAC ID: 6002983442 Enrollment ID: I20090722000417 |
| Provider Name | James Paul Sieradzki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578723185 PECOS PAC ID: 4284795253 Enrollment ID: I20090724000384 |
| Provider Name | Jeffrey T Biever |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972585693 PECOS PAC ID: 8224176045 Enrollment ID: I20091114000013 |
| Provider Name | Christopher R Balint |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609858703 PECOS PAC ID: 6406994250 Enrollment ID: I20091116000251 |
| Provider Name | Michael A Yergler |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295717239 PECOS PAC ID: 8820137722 Enrollment ID: I20091207000421 |
| Provider Name | Joseph G Jerman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073529756 PECOS PAC ID: 2769444884 Enrollment ID: I20091221000018 |
| Provider Name | Patrick Jamieson Kay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447265186 PECOS PAC ID: 7719882695 Enrollment ID: I20091221000198 |
| Provider Name | Kenneth H Haller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295741197 PECOS PAC ID: 5294630174 Enrollment ID: I20100120000548 |
| Provider Name | Robert A Lillo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902812639 PECOS PAC ID: 5890690770 Enrollment ID: I20100121000152 |
| Provider Name | Francesca D Tekula |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801801469 PECOS PAC ID: 4486616505 Enrollment ID: I20100204000262 |
| Provider Name | Nirmal K Surtani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649285305 PECOS PAC ID: 4183529092 Enrollment ID: I20100204000326 |
| Provider Name | Steven A Herbst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588671788 PECOS PAC ID: 3274438155 Enrollment ID: I20100210000619 |
| Provider Name | Michael Berend |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790761666 PECOS PAC ID: 8729113543 Enrollment ID: I20100410000075 |
| Provider Name | Matthew Dinnon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174505804 PECOS PAC ID: 1557498243 Enrollment ID: I20100429000337 |
| Provider Name | Henry Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700868460 PECOS PAC ID: 1254468945 Enrollment ID: I20100429000374 |
| Provider Name | Haley N Ukiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497858534 PECOS PAC ID: 7315076502 Enrollment ID: I20100526000840 |
| Provider Name | Nicholas J Cook |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1811103393 PECOS PAC ID: 1557493319 Enrollment ID: I20100715000083 |
| Provider Name | Erich J Weidenbener |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1811049380 PECOS PAC ID: 0840485082 Enrollment ID: I20101112000670 |
| Provider Name | Charles R Austgen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679516264 PECOS PAC ID: 3375730302 Enrollment ID: I20101202001350 |
| Provider Name | Larry T Hawkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124196373 PECOS PAC ID: 6608056890 Enrollment ID: I20110204000454 |
| Provider Name | Dwayne E Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861669251 PECOS PAC ID: 2365622560 Enrollment ID: I20110204000544 |
| Provider Name | Andrew J Losiniecki |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750592051 PECOS PAC ID: 9830376268 Enrollment ID: I20110610000486 |
| Provider Name | Muhammad Khalil Aslam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659384220 PECOS PAC ID: 3971605437 Enrollment ID: I20110809000468 |
| Provider Name | Dan M Hecimovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649430943 PECOS PAC ID: 0446444749 Enrollment ID: I20110823000788 |
| Provider Name | Kile J Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245467281 PECOS PAC ID: 9436329240 Enrollment ID: I20110906000450 |
| Provider Name | Mushoba N Njalamimba |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043406200 PECOS PAC ID: 8224209366 Enrollment ID: I20110921000015 |
| Provider Name | Meghan B Goltowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457631434 PECOS PAC ID: 6406029529 Enrollment ID: I20111104000147 |
| Provider Name | Jon C Markley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841399714 PECOS PAC ID: 9537333976 Enrollment ID: I20111121000136 |
| Provider Name | John Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568720019 PECOS PAC ID: 8729242896 Enrollment ID: I20120621000383 |
| Provider Name | Janann K Lishawa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255683132 PECOS PAC ID: 2567614977 Enrollment ID: I20121211000548 |
| Provider Name | Wesley G Lackey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033314984 PECOS PAC ID: 8224273560 Enrollment ID: I20130314000447 |
| Provider Name | Debra Leazenby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740623933 PECOS PAC ID: 8224278825 Enrollment ID: I20130702000454 |
| Provider Name | Samantha R Weidner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942507264 PECOS PAC ID: 2961636295 Enrollment ID: I20130927000688 |
| Provider Name | James F Flynn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982861522 PECOS PAC ID: 2668614678 Enrollment ID: I20140626002447 |
| Provider Name | Ryan Robert Jaggers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861654527 PECOS PAC ID: 2860626843 Enrollment ID: I20140908002002 |
| Provider Name | Erica E Mandsager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821497959 PECOS PAC ID: 2062736754 Enrollment ID: I20150129001118 |
| Provider Name | Paul A Smucker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952380743 PECOS PAC ID: 7214992411 Enrollment ID: I20150529001459 |
| Provider Name | Tonya L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205220290 PECOS PAC ID: 6800117904 Enrollment ID: I20150601002472 |
| Provider Name | Scott Waterman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811049083 PECOS PAC ID: 7911228531 Enrollment ID: I20150609000210 |
| Provider Name | Joshua L Carter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073755617 PECOS PAC ID: 5395962849 Enrollment ID: I20150618000928 |
| Provider Name | Jonathan S Chae |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407080245 PECOS PAC ID: 0547573172 Enrollment ID: I20150724011379 |
| Provider Name | Deepak Reddy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710119540 PECOS PAC ID: 8921224866 Enrollment ID: I20150914002477 |
| Provider Name | Jennifer R Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063887537 PECOS PAC ID: 4284935180 Enrollment ID: I20151218000677 |
| Provider Name | Thomas L Salsbury |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255377115 PECOS PAC ID: 3375720287 Enrollment ID: I20160115001410 |
| Provider Name | Nicholas A Pipito |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700144086 PECOS PAC ID: 3072805787 Enrollment ID: I20160715000971 |
| Provider Name | Samual M Fuller |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1649569484 PECOS PAC ID: 4880989847 Enrollment ID: I20160830001218 |
| Provider Name | Ryan D Cieply |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083878219 PECOS PAC ID: 0042471971 Enrollment ID: I20161006001830 |
| Provider Name | Brian E Camilleri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003111063 PECOS PAC ID: 8628212693 Enrollment ID: I20161013002464 |
| Provider Name | Lindsey M Nagy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861848418 PECOS PAC ID: 8921388745 Enrollment ID: I20161213000373 |
| Provider Name | George H Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578919304 PECOS PAC ID: 1557643962 Enrollment ID: I20170119002191 |
| Provider Name | Maciej J Jaskiewicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164963989 PECOS PAC ID: 9234415043 Enrollment ID: I20170410002726 |
| Provider Name | Julie M Painter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588723936 PECOS PAC ID: 4789954868 Enrollment ID: I20170721002949 |
| Provider Name | Adam Lyon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356635932 PECOS PAC ID: 3971733775 Enrollment ID: I20170727003506 |
| Provider Name | Allison L Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285164285 PECOS PAC ID: 5193098838 Enrollment ID: I20170831002399 |
| Provider Name | Kathleen R Parker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750870283 PECOS PAC ID: 8224383013 Enrollment ID: I20180619002922 |
| Provider Name | Shelly Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770060360 PECOS PAC ID: 0547518698 Enrollment ID: I20180806001382 |
| Provider Name | Adam J Cien |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104183607 PECOS PAC ID: 4981974193 Enrollment ID: I20180912001776 |
| Provider Name | Natalie D Mcclintick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235616459 PECOS PAC ID: 4082965249 Enrollment ID: I20180927000085 |
| Provider Name | Sofia L Rutledge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326530635 PECOS PAC ID: 5092067603 Enrollment ID: I20181010000349 |
| Provider Name | Jonathan S Stewart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225512494 PECOS PAC ID: 3971855594 Enrollment ID: I20181010000933 |
| Provider Name | Tyler D Mcgregor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124384565 PECOS PAC ID: 0345560504 Enrollment ID: I20181121001899 |
| Provider Name | Tricia M James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578036265 PECOS PAC ID: 6204175144 Enrollment ID: I20190311002450 |
| Provider Name | William James Warrender |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770902538 PECOS PAC ID: 1355574310 Enrollment ID: I20190611003681 |
| Provider Name | Anna K Diedrich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386202265 PECOS PAC ID: 5991033102 Enrollment ID: I20190827000934 |
| Provider Name | Danielle Nicole Wills |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003467903 PECOS PAC ID: 2860723426 Enrollment ID: I20191011001777 |
| Provider Name | Karen E Schneider-wensell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851949440 PECOS PAC ID: 2668804832 Enrollment ID: I20191111000845 |
| Provider Name | Damon Andrew Stansberry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174706741 PECOS PAC ID: 8729416854 Enrollment ID: I20200323003309 |
| Provider Name | Molly Pestow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194348995 PECOS PAC ID: 0143641936 Enrollment ID: I20200603001424 |
| Provider Name | Thomas B Bemenderfer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891105425 PECOS PAC ID: 9133462864 Enrollment ID: I20200924003034 |
| Provider Name | Lorena Marjorie Newkirk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689907800 PECOS PAC ID: 9739361031 Enrollment ID: I20201008002713 |
| Provider Name | Curtis Lee Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376151456 PECOS PAC ID: 9830519289 Enrollment ID: I20201023000907 |
| Provider Name | Dylan Andrew Lax |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679074322 PECOS PAC ID: 9638433691 Enrollment ID: I20201113002251 |
| Provider Name | Julie Ann Sunday |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831386499 PECOS PAC ID: 1355400755 Enrollment ID: I20210203001744 |
| Provider Name | Tarrin Elyse O'reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417533134 PECOS PAC ID: 5193125300 Enrollment ID: I20210609002611 |
| Provider Name | Aaron Michael Baessler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912389560 PECOS PAC ID: 4789997081 Enrollment ID: I20210816001783 |
| Provider Name | Heidi R Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821223488 PECOS PAC ID: 5294886750 Enrollment ID: I20211209002379 |
| Provider Name | Brandon Parsons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508534330 PECOS PAC ID: 1355733171 Enrollment ID: I20220127001879 |
| Provider Name | Bailey Turner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225795339 PECOS PAC ID: 8527450345 Enrollment ID: I20220127001918 |
| Provider Name | Jenna Lemon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346906070 PECOS PAC ID: 9537551395 Enrollment ID: I20220202000129 |
| Provider Name | Warren Gregory Lawless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932661063 PECOS PAC ID: 8123410057 Enrollment ID: I20220202002583 |
| Provider Name | Stanton Alexander Wilhite |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205499696 PECOS PAC ID: 6305176264 Enrollment ID: I20220607001839 |
| Provider Name | Karli N Bechdolt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912645649 PECOS PAC ID: 1658755376 Enrollment ID: I20220830002222 |
| Provider Name | Reagan E Tapley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184342586 PECOS PAC ID: 7113302803 Enrollment ID: I20220915003662 |
| Provider Name | Colin Thomas Penrose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396199915 PECOS PAC ID: 7214220607 Enrollment ID: I20221107001200 |
| Provider Name | Louie Cabe Liwanag |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740557719 PECOS PAC ID: 7719344233 Enrollment ID: I20230526001790 |
| Provider Name | Ellen Bruneel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720702525 PECOS PAC ID: 5890153860 Enrollment ID: I20230623000184 |
| Provider Name | John Robert Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215468079 PECOS PAC ID: 3577953041 Enrollment ID: I20230725000495 |
| Provider Name | Dominic Prospero |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851898076 PECOS PAC ID: 9133484843 Enrollment ID: I20231020002818 |
| Provider Name | Amanda Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174984413 PECOS PAC ID: 3870884810 Enrollment ID: I20231101003517 |
| Provider Name | Christina N Bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447932553 PECOS PAC ID: 8123477940 Enrollment ID: I20231205003411 |
| Provider Name | Jacob Chase Kanaby |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508615964 PECOS PAC ID: 2668814468 Enrollment ID: I20240524001238 |
| Provider Name | Patrick James Warmoth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194226647 PECOS PAC ID: 2062760564 Enrollment ID: I20240711003734 |
| Provider Name | Christopher Robert Hays |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457185134 PECOS PAC ID: 9335689314 Enrollment ID: I20240904004711 |
| Provider Name | Hunter Freeman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144056441 PECOS PAC ID: 7012449317 Enrollment ID: I20241011000328 |
| Provider Name | Spencer William Neal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578364030 PECOS PAC ID: 0547785636 Enrollment ID: I20250422001521 |
Workplace Health Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 W Kilgore Ave, Muncie, IN 47304 Phone: 765-289-5437 | |
Meridian Health Services Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N Walnut St # 1, Muncie, IN 47305 Phone: 765-288-1928 | |
Open Door Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1804-1806 West Royale Dr, Muncie, IN 47304 Phone: 765-286-7000 | |
Wilsons Hearing Aid Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3716 N Wheeling Ave, Muncie, IN 47304 Phone: 765-747-4131 | |
Meridian Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 W Jackson St, Muncie, IN 47303 Phone: 765-288-1928 Fax: 765-741-0362 | |
Workplace Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Tillotson Ave, Muncie, IN 47304 Phone: 765-747-3888 |