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NPI 1649105487 · live from the CMS NPI Registry

Central Indiana Orthopedics, LLC

Podiatrist, Foot & Ankle Surgery in Avon, IN. National Provider Identifier 1649105487, active.

NPI record

NPI1649105487 Type 2 · organization
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location8607 E Us Highway 36, Suite 100, Avon, IN 46123
Practice phone317-455-1064
Mailing address3600 W Bethel Ave, Muncie, IN 47304
EnumeratedJune 15, 2026
Last updatedJune 15, 2026
Authorized officialTimothy Yuckman, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery207X00000X—
Podiatrist213E00000X—
Podiatrist, Foot & Ankle Surgery primary213ES0103X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.