INDIANAPOLIS NEUROSURGICAL GROUP (NPI# 1154541753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154541753 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS NEUROSURGICAL GROUP |
| Other Organization Name | GOODMAN CAMPBELL BRAIN AND SPINE |
| Practice Address |
1925 N. Capitol Avenue Indianapolis IN 46202 |
| Mailing Address |
8333 Naab Rd 255 Indianapolis IN 46260-5924 |
| Practice Telephone | 3173961300 |
| Mailing Telephone | 3173961300 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-12-29 |
| Authorized Official Name | DEREK CANTRELL (EXEC DIRECTOR FINANCE) |
| Authorized Official Telephone | 3173961300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100318390R | 05 |
| Other Name | Type Code |
|---|---|
| Goodman Campbell Brain and Spine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669701629 | Indianapolis Neurosurgical Group | Nurse Practitioner | 702 Riley Hospital Dr, Suite 1134, Indianapolis, IN 46202-5139 | 2009-12-21 |
| 1477883916 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2010-01-06 |
| 1881923837 | Indianapolis Neurosurgical Group | Nurse Practitioner | 550 University Blvd, Uh 1295, Indianapolis, IN 46202-5149 | 2009-12-21 |
| 1316276363 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 | 2009-12-21 |
| 1689903635 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1001 W 10th St, Rg 4th Floor, Indianapolis, IN 46202-2859 | 2009-12-21 |
| 1033448097 | Indianapolis Neurosurgical Group | Nurse Practitioner | 11725 N Illinois St, Suite 275, Carmel, IN 46032-3008 | 2009-12-21 |
| 1851620801 | Indianapolis Neurosurgical Group | Nurse Practitioner | 535 Barnhill Dr, Rt, 2nd Floor, Indianapolis, IN 46202-5116 | 2009-12-21 |
| 1336380617 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1633 N Capitol Ave, Ste 300, Indianapolis, IN 46202-1261 | 2009-03-16 |
| 1679733166 | Indianapolis Neurosurgical Group | Physical Medicine & Rehabilitation | 355 W 16th St, Suite 5100, Indianapolis, IN 46202-2207 | 2008-06-10 |
| 1093905325 | Indianapolis Neurosurgical Group | General Acute Care Hospital | 1801 N Senate Ave, Suite 535, Indianapolis, IN 46202 | 2007-08-01 |
| Street Address |
1925 N. CAPITOL AVENUE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558889840 | Pih Advanced Testing P.C. | Radiologic Technologist | 4078 Pendleton Way, Indianapolis, IN 46226-5224 | 2017-09-06 |
| 1629099650 | Opensided Mri LLC | Radiologic Technologist | 6401 S East St, Suite C, Indianapolis, IN 46227 | 2006-07-23 |
| 1891953477 | George Anthony Gardner | Radiologic Technologist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-05-30 |
| 1861612467 | Indianapolis Neurosurgical Group PC | Radiologic Technologist | 7330 E 82nd St, Indianapolis, IN 46256-1465 | 2007-04-26 |
| 1447312616 | Indianapolis Neurosurgical Group | Radiologic Technologist | 7855 S Emerson Ave, Indianapolis, IN 46237-8668 | 2006-12-14 |
| 1518978766 | Indianapolis Neurosurgical Group | Radiologic Technologist | 10603 N Meridian St, Indianapolis, IN 46290-1055 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710914023 | Vertical Plus Mri of America, LLC | Radiologic Technologist | 3838 N Main St, Mishawaka, IN 46545-3110 | 2006-06-26 |
| 1558346148 | Open and Wide Mri, LLC | Radiologic Technologist | 3050 Windsor Ct, Elkhart, IN 46514-5555 | 2005-12-07 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on INDIANAPOLIS NEUROSURGICAL GROUP.
| 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.