MEDICARE: CENTRAL INDIANA ORTHOPEDICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207X00000X	Orthopaedic Surgery Physician
2	213E00000X	Podiatrist
3	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1649105487
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL INDIANA ORTHOPEDICS, LLC

Provider Business Mailing Address
First Line	:	3600 W BETHEL AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-5407
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8607 E US HIGHWAY 36
Second Line	:	SUITE 100
City	:	AVON
State	:	IN
Zip	:	46123
Country	:	US
Telephone Number	:	317-455-1064
Fax Number	:	317-455-1204

Authorized Official
Title or Position	:	CEO
Name	:	TIMOTHY YUCKMAN
Credential	:
Telephone Number	:	224-563-4955

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “CENTRAL INDIANA ORTHOPEDICS, LLC ” Practice Location

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