CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC (NPI# 1164917050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164917050 |
| Entity Type | Organization |
| Organization Name | CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC |
| Practice Address |
3600 W Bethel Ave Muncie IN 47304-5407 |
| Practice Telephone | 7652133864 |
| Mailing Telephone | 7652133864 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | BRENDA K CAMPBELL (EXECUTIVE SECRETARY) |
| Authorized Official Telephone | 7652133864 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447260575 | Central Indiana Orthopedic Surgery Center, LLC | Clinic/Center | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2006-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC | 3600 W. Bethel Avenue, Muncie, IN 47304 |
| Street Address |
3600 W BETHEL AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882396 | Matthew T Dewitt | Podiatrist | 3600 W Bethel Ave, Muncie, IN 47304 | 2005-06-28 |
| 1376151456 | Curtis Lee Laws | Nurse Practitioner | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2020-07-15 |
| 1124587035 | Cio Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2019-03-19 |
| 1578036265 | Tricia M James | Nurse Practitioner | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2019-01-07 |
| 1346751930 | Elizabeth Gertrude Wendel | Physical Therapy Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2017-10-23 |
| 1801347299 | Joseph Richichi | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-20 |
| 1891246559 | U.S. Healthworks Medical Group of Indiana, PC | Clinic/Center | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-18 |
| 1164972071 | Ericka Lynn Lennartz | Physical Therapy Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-10-04 |
| 1114476611 | Karissa Carpenter | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2016-09-25 |
| 1295101079 | Brittani Sizelove | Physician Assistant | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598804064 | Mid-america Surgery Center | Clinic/Center | 6004 W Kilgore Ave, Muncie, IN 47304-4726 | 2007-02-05 |
| 1073604310 | American Health Network of Indiana, LLC | Clinic/Center | 3631 N. Morrison Road, Suite 106, Muncie, IN 47304 | 2006-09-28 |
| 1669477899 | Muncie Cataract & Laser Eye Center, LLC | Clinic/Center | 3300 W Purdue Ave, Muncie, IN 47304-6355 | 2005-06-15 |
| 1669705034 | Eye Specialists Surgery Centers, LLC | Clinic/Center | 200 N Tillotson Ave, Muncie, IN 47304-3988 | 2009-09-16 |
| 1801909197 | Surgicenter Group LLC | Clinic/Center | 200 N Tillotson Ave, Muncie, IN 47304-3988 | 2006-08-17 |
| 1578574463 | Medical Consultants Surgery Center LLC | Clinic/Center | 800 S Tillotson Ave, Muncie, IN 47304-4529 | 2006-08-10 |
| 1447260575 | Central Indiana Orthopedic Surgery Center, LLC | Clinic/Center | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2006-08-09 |
| 1235116658 | Surgicenter Group, LLC | Clinic/Center | 200 N Tillotson Ave, Muncie, IN 47304-3988 | 2005-12-28 |
| 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.