MR. LANCE A RETTIG (NPI# 1205889276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205889276 |
| Entity Type | Individual |
| Full Name | MR. LANCE A RETTIG |
| Credential | MD |
| Practice Address |
201 Pennsylvania Pkwy Ste 100 Indianapolis IN 46280-1393 |
| Practice Telephone | 3178171200 |
| Practice Fax Number | 3178171220 |
| Mailing Telephone | 3178171200 |
| Mailing Fax Number | 3178171220 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 01051568A | IN | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
01051568A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
201 PENNSYLVANIA PKWY STE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46280-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912961053 | Jon Anthony Ramos | Physical Therapy Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2006-04-14 |
| 1760016026 | Samantha L. Saunders | Physical Therapist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2020-02-26 |
| 1215572086 | Andrew C Gibson | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2019-11-15 |
| 1831759687 | Michael David Hornak | Physical Therapist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2019-06-14 |
| 1407336217 | Nicholas W Chandler | Physical Therapist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2018-08-21 |
| 1013496108 | Stuart Andrew Creasey | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2018-08-09 |
| 1841785516 | Amanda Leigh Smith | Specialist/Technologist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2018-06-26 |
| 1265962070 | Gregory D Ramaker | Physical Therapist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2017-06-14 |
| 1659726677 | Lindsey Stiffler | Specialist/Technologist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2016-04-27 |
| 1063887115 | Eilish Mary Anderson | Specialist/Technologist | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280-1393 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
| 1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
| 1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
| 1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
| 1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
| 1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
| 1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
| 1194138677 | Emilia M Kareem | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280 | 2014-06-03 |
| Find all providers in zip 46280 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1295708659 | Richard L Makowiec | Orthopaedic Surgery | 5255 E Stop 11 Rd Ste 300, Indianapolis, IN 46237 | 2006-02-08 |
| 1467600775 | Kevin Robert Knox | Orthopaedic Surgery | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2008-08-29 |
| 1245256452 | Hand Surgery Associates of Indiana Inc | Orthopaedic Surgery | 8501 Harcourt Rd, Indianapolis, IN 46260-2046 | 2006-07-14 |
| 1184623191 | James W Strickland | Orthopaedic Surgery | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2005-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003000399 | Reconstructive Hand To Shoulder of Indiana, LLC | Orthopaedic Surgery | 13431 Old Meridian Street, Suite 225, Carmel, IN 46032 | 2007-08-30 |
| 1689873291 | Christian Hand Center, Inc | Orthopaedic Surgery | 1800 S. 3rd St., Terre Haute, IN 47802 | 2007-07-13 |
| 1598700783 | Michael E Pannunzio | Orthopaedic Surgery | 13431 Old Meridian St, Suite 225, Carmel, IN 46032-7101 | 2006-06-19 |
| 1497758429 | Fort Wayne Orthopaedics LLC | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-05-23 |
| 1639644560 | Orthocincy | Orthopaedic Surgery | 605 Wilson Creek Rd, Lawrenceburg, IN 47025-2506 | 2018-10-08 |
| 1912404435 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2018-04-11 |
| 1952790321 | Community Care Network, Inc | Orthopaedic Surgery | 7835 Grand Blvd, Hobart, IN 46342-6665 | 2015-01-22 |
| 1679903009 | Trihealth Physicians of Indiana, Inc. | Orthopaedic Surgery | 600 Wilson Creek Rd, Suite 310, Lawrenceburg, IN 47025-2751 | 2013-11-21 |
| 1043525009 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 | 2010-08-16 |
| 1881909935 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 207 N Townline Rd, Lagrange, IN 46761-1325 | 2010-08-13 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46280 |
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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.