CENTER FOR SOUTHSIDE SURGERY, LLC (NPI# 1003292483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003292483 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SOUTHSIDE SURGERY, LLC |
| Practice Address |
533 E County Line Rd Suite 201 Greenwood IN 46143-1073 |
| Practice Telephone | 3177067246 |
| Practice Fax Number | 3177063419 |
| Mailing Telephone | 3177067246 |
| Mailing Fax Number | 3177063419 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | CHRISTINA MANDABACH (DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 3177067246 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
IN | Ambulatory Health Care Facilities |
| Street Address |
533 E COUNTY LINE RD SUITE 201 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311001 | Tessa M Asdell | Obstetrics & Gynecology | 533 E County Line Rd, Suite 102, Greenwood, IN 46143-1048 | 2005-07-29 |
| 1023541653 | Brittany Y. Simpson | Family Medicine | 533 E County Line Rd, Greenwood, IN 46143-1073 | 2017-04-11 |
| 1609247659 | Laser and Light Surgery Center | Family Medicine | 533 E County Line Rd, Suite 204, Greenwood, IN 46143-1073 | 2015-10-16 |
| 1588950141 | Tamara Geralyn Elsner | Physical Therapist | 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 | 2011-06-22 |
| 1164650461 | Scott Sang Won Kim | Anesthesiology | 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 | 2009-06-24 |
| 1265511737 | Associates for Women's Health | Obstetrics & Gynecology | 533 E County Line Rd, Suite 102, Greenwood, IN 46143-1048 | 2006-11-03 |
| 1669578548 | Janine Elise Wallick | Nurse Practitioner | 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 | 2006-09-16 |
| 1578667713 | Mark Hamilton | Plastic Surgery | 533 E County Line Rd, Suite #104, Greenwood, IN 46143-1073 | 2006-09-08 |
| 1841309754 | Ryan K Brashear | Dermatology | 533 E County Line Rd, #203, Greenwood, IN 46143-1073 | 2006-08-30 |
| 1003924770 | Hamilton Facial Plastic Surgery, PC | Plastic Surgery | 533 E County Line Rd, Ste 104, Greenwood, IN 46143-1073 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427044452 | The Surgery Center @ Self Memorial Hospital, LLC | Clinic/Center | 101 Academy Ave, Greenwood, SC 29646-3869 | 2005-09-26 |
| 1093021875 | Ioh South Surgery Center | Clinic/Center | 1260 Innovation Parkway, Suite 150, Greenwood, IN 46143 | 2010-08-31 |
| 1093921298 | Indiana Skin Cancer Ambulatory Surgical Center LLC | Clinic/Center | 701 East County Line Road, Ste 208, Greenwood, IN 46143 | 2007-05-15 |
| 1346233905 | Ambulatory Surgery Center At Indiana Eye Clinic LLC | Clinic/Center | 30 N Emerson Ave, Greenwood, IN 46143-8895 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1689282741 | Uaa Indae LLC | Clinic/Center | 4715 Statesmen Dr Ste A, Indianapolis, IN 46250-1997 | 2020-07-15 |
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1174165237 | River Ridge Surgical Suites, LLC | Clinic/Center | 2031 Jeffersonville Commons Dr, Jeffersonville, IN 47130-8996 | 2019-10-10 |
| 1134779622 | Helix Surgicenter LLC | Clinic/Center | 324 W Us Highway 30, Schererville, IN 46375-1856 | 2019-09-17 |
| 1295381572 | South Suburban Surgical Suites, LLC | Clinic/Center | 9200 Calumet Ave Ste E-100, Munster, IN 46321-2885 | 2019-08-13 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1609376409 | Kokomo Ambulatory Surgery Center | Clinic/Center | 107 S Washington St Ste A, Kokomo, IN 46901-4601 | 2018-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.