INDIANA SPINE GROUP, PC (NPI# 1144667635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144667635 |
| Entity Type | Organization |
| Organization Name | INDIANA SPINE GROUP, PC |
| Practice Address |
1115 N. Ronald Reagan Pkwy. Suite 148 Avon IN 46123-6913 |
| Mailing Address |
13225 N Meridian St Carmel IN 46032-5480 |
| Practice Telephone | 3172287000 |
| Practice Fax Number | 3172282321 |
| Mailing Telephone | 3172287000 |
| Mailing Fax Number | 3172282321 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2016-05-27 |
| Authorized Official Name | HARDEEP SIKAND (CEO) |
| Authorized Official Telephone | 3172287000 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | INDIANA SPINE GROUP, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
50004386A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000214063 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508220633 | Indiana Spine Group, PC | Orthopaedic Surgery | 747 E. County Line Rd., Suite L, Greenwood, IN 46143-1082 | 2016-04-05 |
| 1275014755 | Indiana Spine Group, PC | Orthopaedic Surgery | 1 Memorial Sq Ste 2000, Greenfield, IN 46140-2835 | 2018-08-23 |
| 1093261919 | Indiana Spine Group, PC | Chiropractor | 13914 Southeastern Pkwy, Suite 201, Fishers, IN 46037-7127 | 2016-08-31 |
| 1174079099 | Indiana Spine Group, PC | Chiropractor | 13225 N Meridian St, Carmel, IN 46032-5480 | 2016-08-31 |
| 1295000917 | Indiana Spine Group, PC | Durable Medical Equipment & Medical Supplies | 112 Hospital Ln, Bldg. 2, Sute 301, Danville, IN 46122-1977 | 2012-03-13 |
| 1467639567 | Indiana Spine Group, PC | Durable Medical Equipment & Medical Supplies | 13914 Southeastern Pkwy, Suite 201, Fishers, IN 46037 | 2008-01-31 |
| 1861679094 | Indiana Spine Group, PC | Pain Medicine | 821 N Dixon Rd, Kokomo, IN 46901-1754 | 2008-01-30 |
| 1538346689 | Indiana Spine Group, PC | Pain Medicine | 8040 Clearvista Pkwy, Suite 450, Indianapolis, IN 46256-5630 | 2008-01-30 |
| 1609960046 | Indiana Spine Group, PC | Durable Medical Equipment & Medical Supplies | 13225 N Meridian St, Carmel, IN 46032-5480 | 2006-10-02 |
| Street Address |
1115 N. RONALD REAGAN PKWY. SUITE 148 |
| City | AVON |
| State | IN |
| Zip Code | 46123-6913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437368479 | Praveen C Perni | Orthopaedic Surgery | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548768815 | Spine Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1265, Indianapolis, IN 46204-3250 | 2018-01-31 |
| 1174021950 | Joint Replacement Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1272, Indianapolis, IN 46204-3250 | 2018-01-26 |
| 1508220633 | Indiana Spine Group, PC | Orthopaedic Surgery | 747 E. County Line Rd., Suite L, Greenwood, IN 46143-1082 | 2016-04-05 |
| 1457534497 | Orthopaedic Spine Center PC | Orthopaedic Surgery | 5255 E.stop 11 Road, Suite 250, Indianapolis, IN 46237-6343 | 2007-12-13 |
| 1689872152 | Spine & Musculoskeletal Center PC | Orthopaedic Surgery | 2020 E Columbus Drive, Suite B, East Chicago, IN 46312-3078 | 2007-07-06 |
| 1366654410 | Michael J. Hartman, Md, PC | Orthopaedic Surgery | 801 Mac Arthur Blvd, Suite 304, Munster, IN 46321 | 2007-05-03 |
| 1356485825 | Southern Indiana Orthopedics, Inc | Orthopaedic Surgery | 633 East Tipton, Seymour, IN 47274-2192 | 2007-02-17 |
| 1851494371 | Northwest Indiana Spinal Surgery, P.C. | Orthopaedic Surgery | 9235 Broadway, Merrillville, IN 46410-7046 | 2006-09-07 |
| 1407898570 | Gregory S. Hellwarth | Orthopaedic Surgery | 1400 Highland Rd Ste 1, Richmond, IN 47374-8810 | 2006-06-12 |
| 1215906029 | John M Gorup | Orthopaedic Surgery | 1345 Unity Place, Suite 310, Lafayette, IN 47905-5769 | 2006-03-15 |
| Find all providers with the same taxonomy | ||||
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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.