INDIANAPOLIS NEUROSURGICAL GROUP PC (NPI# 1275580318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275580318 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS NEUROSURGICAL GROUP PC |
| Other Organization Name | GOODMAN CAMPBELL BRAIN AND SPINE |
| Practice Address |
13345 Illinois St Carmel IN 46033 |
| Mailing Address |
13345 Illinois Street Carmel IN 46032-3018 |
| Practice Telephone | 3173961300 |
| Mailing Telephone | 3173961300 |
| Mailing Fax Number | 3173961346 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-07-06 |
| Authorized Official Name | AUDRA ELIZABETH FREZZA (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3173961322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100318390 | 05 |
| Other Name | Type Code |
|---|---|
| Goodman Campbell Brain and Spine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8333 Naab Rd, Ste 250, Indianapolis, IN 462605924 | 3173961300 | 3173961346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861612467 | Indianapolis Neurosurgical Group PC | Radiologic Technologist | 7330 E 82nd St, Indianapolis, IN 46256-1465 | 2007-04-26 |
| 1528085974 | Indianapolis Neurosurgical Group PC | Durable Medical Equipment & Medical Supplies | 7120 Clearvista Dr, Suite 3100, Indianapolis, IN 46256-1621 | 2006-07-15 |
| 1023035482 | Indianapolis Neurosurgical Group PC | Anesthesiology | 1051 S Greenwood Springs Blvd, Suite 210, Greenwood, IN 46143-6479 | 2006-07-15 |
| Street Address |
13345 ILLINOIS ST |
| City | CARMEL |
| State | IN |
| Zip Code | 46033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400825 | Ashley Fish | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-09-08 |
| 1487263273 | Nicole Gwen Lemrick | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-07-28 |
| 1568087963 | Nora Elizabeth Ferree | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-06-11 |
| 1457986259 | Walter Andrew Jay Mandery | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-03-12 |
| 1124668108 | Elizabeth Scott Fortune | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2020-01-08 |
| 1528617453 | Kelly Hoonhout | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2019-09-04 |
| 1790339943 | William Garry Birch Iv | Registered Nurse | 13345 Illinois St, Carmel, IN 46032-3318 | 2019-07-26 |
| 1831656230 | Stacey Lynn Roberts | Nurse Practitioner | 13345 Illinois St, Carmel, IN 46032 | 2019-02-22 |
| 1770052862 | Brena Lee Ingersol | Nurse Practitioner | 13345 Illinois St, Carmel, IN 46032-3318 | 2018-11-19 |
| 1861941221 | Sarah E. Rooksberry | Physician Assistant | 13345 Illinois St, Carmel, IN 46032-3318 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255749164 | Katherine A Martin | Pharmacist | 10655 Haverstick Rd., St. Elizabeth Seton Church, Carmel, IN 46033 | 2014-07-24 |
| 1104050418 | Sharon Joy O'haver | Occupational Therapist | 11863 Stoney Bay Circle, Carmel, IN 46033 | 2009-05-14 |
| 1689832537 | Wendy Jean Garvin | Dentist | 2750 E 146th St, Suite 201, Carmel, IN 46033 | 2008-05-28 |
| 1013181106 | Kearns Chiropractic, Inc. | Chiropractor | 2776 E 146th Street, Carmel, IN 46033 | 2008-04-18 |
| 1184800443 | Lane Dental LLC | Dentist | 14747 Oak Road, Suite 400, Carmel, IN 46033 | 2008-01-17 |
| 1821287731 | Cool Creek Chiropractic LLC | Chiropractor | 14747 Oak Road Bld 3, Suite 300, Carmel, IN 46033 | 2007-10-16 |
| 1154449528 | John Alexander Cavins | Internal Medicine | 36 Twinshore Ct, Carmel, IN 46033 | 2007-03-26 |
| 1710028469 | Justin M Gilmore Dc PC | Chiropractor | 14801 Market Center Drive, Suite 150, Carmel, IN 46033 | 2007-02-08 |
| 1316017239 | Michael Ryan Kearns | Chiropractor | 2776 E. 146th St., Carmeil, IN 46033 | 2006-11-08 |
| 1063595908 | Shrout Family Chiropractic | Chiropractor | 13170 Hazel Dell Pkwy, Suite 120, Carmel, IN 46033 | 2006-10-23 |
| Find all providers in zip 46033 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740898998 | Health Quest Medical Practice, PC | Neurological Surgery | 665 Stoneleigh Ave Ste 205, Carmel, NY 10512-4625 | 2020-07-14 |
| 1528405180 | Gillian Harrison | Neurological Surgery | 13345 Illinois St, Carmel, IN 46032-3318 | 2013-05-22 |
| 1235234675 | Kenneth L. Renkens Jr. | Neurological Surgery | 13225 N Meridian St, Carmel, IN 46032-5480 | 2006-09-13 |
| 1053384453 | Paul C. Garell | Neurological Surgery | 670 Stoneleigh Ave, Dept. of Neurosurgery, Carmel, NY 10512-3997 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780146076 | T.s.shanks, Pllc | Neurological Surgery | 1919 State St Ste 250, New Albany, IN 47150-6805 | 2019-04-04 |
| 1326411158 | Stephen B Schroeder | Neurological Surgery | 2318 Turnberry Lane, Fort Wayne, IN 46804 | 2015-11-02 |
| 1326465725 | Hayder Jaffer | Neurological Surgery | 200 E 89th Ave Ste 3a, Merrillville, IN 46410-7319 | 2014-03-24 |
| 1083956015 | Us Medical & Business Consultants LLC | Neurological Surgery | 899 S College Mall Rd Ste 350, Bloomington, IN 47401-6301 | 2013-03-15 |
| 1659646917 | Shaheryar Faruq Ansari | Neurological Surgery | 8040 Clearvista Pkwy Ste 240, Indianapolis, IN 46256-4673 | 2012-03-19 |
| 1629367354 | Katrina Alise Ducis | Neurological Surgery | 705 Riley Hospital Dr Rm 1134, Indianapolis, IN 46202 | 2011-04-04 |
| 1639490857 | Karl Erach Balsara | Neurological Surgery | 705 Riley Hospital Dr # 1134, Indianapolis, IN 46202 | 2010-06-22 |
| 1265759955 | Chih-ta Lin | Neurological Surgery | 2525 W University Ave Ste 503, Muncie, IN 47303-3409 | 2010-04-21 |
| 1093030322 | Gregory J Loomis | Neurological Surgery | 1024 Dress Ln, Evansville, IN 47725-9596 | 2010-03-30 |
| 1730317090 | Graham Charles Hall | Neurological Surgery | 1550 E County Line Rd Ste 201, Indianapolis, IN 46227-1082 | 2009-06-25 |
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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.