GREENWOOD ORTHOPEDICS PC (NPI# 1083688600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083688600 |
| Entity Type | Organization |
| Organization Name | GREENWOOD ORTHOPEDICS PC |
| Practice Address |
1550 E County Line Rd Suite 200 Indianapolis IN 46227 |
| Practice Telephone | 3174976497 |
| Practice Fax Number | 3174976400 |
| Mailing Telephone | 3174976497 |
| Mailing Fax Number | 3174976400 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | RICHARD W JACKSON (PHYSICIAN OWNER OF PRACTICE) |
| Authorized Official Telephone | 3174976497 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200489270A | 05 | |
| ANTHEM | 0000308039 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194184671 | Greenwood Orthopedics PC | Orthopaedic Surgery | 965 Emerson Parkway, Suite K, Greenwood, IN 46143-6274 | 2016-02-12 |
| 1598004434 | Greenwood Orthopedics PC | Orthopaedic Surgery | 3000 S State Road 135, Suite 210, Greenwood, IN 46143-9607 | 2013-02-13 |
| Street Address |
1550 E COUNTY LINE RD SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174121 | Kurt R Martin | Orthopaedic Surgery | 1550 E County Line Rd, Ste 200, Indianapolis, IN 46227-0990 | 2005-06-20 |
| 1003217274 | Kathleen L Lampert | Nurse Practitioner | 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227-1000 | 2014-09-08 |
| 1376975854 | Carrie Graves | Nurse Practitioner | 1550 E County Line Rd, Ste 200, Indianapolis, IN 46227-1000 | 2013-08-06 |
| 1750632949 | Shannon Lea Bedja | Nurse Practitioner | 1550 E County Line Rd, Suite 325, Indianapolis, IN 46227-0967 | 2012-09-27 |
| 1508121492 | Sathish Kumar Krishnan | Internal Medicine | 1550 E County Line Rd, Indianapolis, IN 46227-1000 | 2012-07-07 |
| 1629239918 | Evan R. Armington | Orthopaedic Surgery | 1550 E County Line Rd, Suite 200, Indianapolis, IN 46227 | 2008-06-19 |
| 1336357938 | Helen Caldwell | Counselor | 1550 E County Line Rd, Ste 325, Indianapolis, IN 46227-1000 | 2007-05-18 |
| 1033141155 | Annette Rene Moore | Nurse Practitioner | 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227-1000 | 2006-07-07 |
| 1720043193 | Jason R Cacioppo | Surgery | 1550 E County Line Rd, Suite 320, Indianapolis, IN 46227-1000 | 2006-04-19 |
| 1144227471 | James Kenneth Cole | Orthopaedic Surgery | 1550 E County Line Rd, Suite 200, Indianapolis, IN 46227-1000 | 2005-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730561291 | Cody Shafer | Orthopaedic Surgery | 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 | 2015-06-22 |
| 1134546161 | Kevin A Sonn | Orthopaedic Surgery | 1801 Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2014-03-27 |
| 1528403078 | Hannah Abigail Dineen | Orthopaedic Surgery | 8501 Harcourt Rd Dept Of, Indianapolis, IN 46260 | 2013-05-09 |
| 1497980189 | Jason C Watters | Orthopaedic Surgery | 720 Eskenazi Ave., Indianapolis, IN 46202-5166 | 2009-05-25 |
| 1184883571 | David Michael Foulk | Orthopaedic Surgery | 8040 Clearvista Pkwy Ste 500, Indianapolis, IN 46256-5604 | 2008-06-02 |
| 1376701961 | Ripley Worman | Orthopaedic Surgery | 541 Clinical Dr Ste 600, Indianapolis, IN 46202-5233 | 2008-05-30 |
| 1437350634 | David M Doman | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2007-05-29 |
| 1588756845 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 1801 N Senate Blvd Ste 200, Indianapolis, IN 46202-1243 | 2006-09-28 |
| 1588699771 | Herbert Merrill Biel | Orthopaedic Surgery | 7930 N Shadeland Avenue, Indianapolis, IN 46250-2041 | 2006-07-12 |
| 1700810660 | Indiana Orthopaedic Center PC | Orthopaedic Surgery | 7930 N. Shadeland Ave., Indianapolis, IN 46250 | 2006-07-10 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
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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.