SADOVE PLASTIC SURGERY, LLC (NPI# 1245302538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245302538 |
| Entity Type | Organization |
| Organization Name | SADOVE PLASTIC SURGERY, LLC |
| Practice Address |
170 W 106th St Indianapolis IN 46290-1004 |
| Mailing Address |
3925 River Crossing Pkwy Third Floor Indianapolis IN 46240-2279 |
| Practice Telephone | 3175750330 |
| Practice Fax Number | 3178465719 |
| Mailing Telephone | 3174722220 |
| Mailing Fax Number | 3172081222 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALAN MICHAEL SADOVE (PRESIDENT) |
| Authorized Official Telephone | 3175750330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | IN | Allopathic & Osteopathic Physicians |
| Street Address |
170 W 106TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46290-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881652444 | Bruce W Van Natta | Specialist | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-05-03 |
| 1245755024 | Kelly M Tunberg | Physician Assistant | 170 W 106th St, Indianapolis, IN 46290-1004 | 2017-08-14 |
| 1063610301 | Babar Sultan | Otolaryngology | 170 W 106th St, Meridian Plastic Surgery, Indianapolis, IN 46290 | 2007-07-09 |
| 1740334317 | Richard J. Balikian | Otolaryngology | 170 W 106th St, Indianapolis, IN 46290-1004 | 2007-01-22 |
| 1104850262 | Alan Michael Sadove | Surgery | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-07-11 |
| 1831148527 | Meridian Plastic Surgery Center, P.C. | Clinic/Center | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-05-09 |
| 1215985130 | Christine L Kelley-patteson | Specialist | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-05-04 |
| 1700834637 | Stephen W Perkins | Specialist | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-05-04 |
| 1790743367 | Perkins Van Natta Plastic Surgery, P.C. | Specialist | 170 W 106th St, Indianapolis, IN 46290-1004 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821548777 | American Behavioral Counseling | Social Worker | 10386 Spring Highland Dr, Indianapolis, IN 46290 | 2016-10-04 |
| 1518042431 | James Lamar Jones | Psychologist | 8555 Cedar Place, Suite 113a, Indianapolis, IN 46290 | 2006-10-26 |
| 1437245917 | Bradley Scott Gunter | Physical Therapy Assistant | 10601 N. Meridian St., Suite 110, Indianapolis, IN 46290 | 2006-10-04 |
| 1790261576 | Kristiana Michelle Sannella | Physician Assistant | 10590 N Meridian St # 105, Indianapolis, IN 46290 | 2018-07-16 |
| 1023534815 | Mitchell James Vansumeren | Psychologist | 10291 N Meridian St Ste 310, Indianapolis, IN 46290 | 2017-08-14 |
| 1801281670 | Elizabeth Tibbs | Physician Assistant | 10590 N Meridian St Ste 105, Indianapolis, IN 46290 | 2015-03-30 |
| 1447510722 | Bradley A Clark | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-05-21 |
| 1528333861 | Edward Mark Shmukler | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2012-03-20 |
| 1386938272 | Bryce S Lynn | Internal Medicine | 10590 N Meridian St, Indianapolis, IN 46290 | 2011-06-08 |
| 1538374780 | Arthur J Sumrall | Dermatology | 10291 N Meridian St, Suite 300, Indianapolis, IN 46290 | 2007-05-11 |
| Find all providers in zip 46290 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215476981 | Nabil Elsahy | Plastic Surgery | 11680 Bluefin Ct, Indianapolis, IN 46236-8500 | 2017-02-14 |
| 1942543681 | Navid Pourtaheri | Plastic Surgery | 705 Riley Hospital Dr Ste 3538, Indianapolis, IN 46202-5109 | 2013-04-01 |
| 1841432374 | David S. Slatton Md, PC | Plastic Surgery | 9302 N. Meridian Street, Suite 220, Indianapolis, IN 46260 | 2009-03-30 |
| 1457573917 | Jessica Nguyen Gillespie | Plastic Surgery | 8051 South Emerson Avenue, Suite 450, Indianapolis, IN 46237 | 2007-05-03 |
| 1578646584 | Mary Elizabeth Lester | Plastic Surgery | 545 Barnhill Dr # Eh232, Indianapolis, IN 46202-5112 | 2006-10-23 |
| 1215020201 | Andrew Jay Mandery | Plastic Surgery | 8402 Harcourt Rd Ste 120, Indianapolis, IN 46260-2006 | 2006-10-02 |
| 1134179229 | Gayle M. Gordillo | Plastic Surgery | 545 Barnhill Dr # 232, Indianapolis, IN 46202 | 2006-05-11 |
| 1538117585 | Howard Dash | Plastic Surgery | 1400 N Ritter Ave Ste 120, Indianapolis, IN 46219-3045 | 2006-05-04 |
| 1124096433 | Amelita G. Del Mundo | Plastic Surgery | 6845 Antelope Dr, Indianapolis, IN 46278-1891 | 2006-03-10 |
| 1235627282 | Adam C. Cohen Plastic Surgery, LLC | Plastic Surgery | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2018-04-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46290 |
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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.