Provider Demographics
NPI:1003003229
Name:JARMAN ORTHOPEDICS, P.C.
Entity type:Organization
Organization Name:JARMAN ORTHOPEDICS, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:JARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-926-6001
Mailing Address - Street 1:501 4TH ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IN
Mailing Address - Zip Code:47001-1243
Mailing Address - Country:US
Mailing Address - Phone:812-926-6001
Mailing Address - Fax:812-926-6009
Practice Address - Street 1:501 4TH ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IN
Practice Address - Zip Code:47001-1243
Practice Address - Country:US
Practice Address - Phone:812-926-6001
Practice Address - Fax:812-926-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01044996207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200070720AMedicaid
IN1120730001Medicare NSC
IN200070720AMedicaid
IN261190Medicare PIN