MERIDIAN SURGICAL GROUP, INC (NPI# 1376655613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376655613 |
| Entity Type | Organization |
| Organization Name | MERIDIAN SURGICAL GROUP, INC |
| Practice Address |
13430 N Meridian St Suite 275 Carmel IN 46032-1405 |
| Practice Telephone | 3175828810 |
| Practice Fax Number | 3175828852 |
| Mailing Telephone | 3175828810 |
| Mailing Fax Number | 3175828852 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | MRS. COLLEEN RENEE OBRIEN (OFFICE MANAGER) |
| Authorized Official Telephone | 3175828810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200348900 | 05 |
| Street Address |
13430 N MERIDIAN ST SUITE 275 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659835 | John M Huse | Surgery | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2005-06-14 |
| 1366753246 | Kami C Shaw | Physician Assistant | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2010-06-25 |
| 1386886620 | Tara M Wilson | Specialist/Technologist, Other | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2009-04-01 |
| 1063654507 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 13430 N Meridian St, Suite 204, Carmel, IN 46032-1484 | 2009-03-30 |
| 1942483318 | Advanced Migraine Care, P.C. | Psychiatry & Neurology | 13430 N Meridian St, Suite 165, Carmel, IN 46032-1405 | 2007-12-08 |
| 1295915148 | American Health Network of Indiana, LLC | Internal Medicine | 13430 N Meridian St, Carmel, IN 46032-1405 | 2007-11-08 |
| 1851475362 | Rusty Allen Brownlee | Specialist/Technologist, Other | 13430 N Meridian St, Ste 364, Carmel, IN 46032-1405 | 2006-10-24 |
| 1427145317 | Jennifer Blase Bradley | Physician Assistant | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2006-10-10 |
| 1598873390 | Carmel Surgical Specialists, PC | Specialist | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2006-08-29 |
| 1639101058 | David Diaz | Surgery | 13430 N Meridian St, Suite 275, Carmel, IN 46032-1405 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487070124 | David Shollenbarger | Surgery | Southwest Corner of Vizcaino At Flanders Way, Carmel, CA 93921-3625 | 2014-03-05 |
| 1497042071 | Kristen Brooke Govert | Surgery | 13450 N Meridian St # 135, Carmel, IN 46032-1546 | 2011-07-05 |
| 1871805523 | Scott Bryan Grant | Surgery | Putnam Hospital Center - Camarda Care Center, 672 Stoneleigh Ave, Carmel, NY 10512-3923 | 2010-07-10 |
| 1831400209 | Christopher Brian Crawford | Surgery | 13430 N Meridian St Ste 275, Carmel, IN 46032-1484 | 2010-06-30 |
| 1679891089 | Ted Lindsay Grayson | Surgery | 10657 Winterwood, Carmel, IN 46032-8258 | 2010-05-10 |
| 1437481439 | Carmel Surgical PC | Surgery | 13430 N Meridian St Suite 364, Carmel, IN 46032 | 2010-02-02 |
| 1831339720 | Ambar Banerjee | Surgery | 11725 N. Illinois Street, Suite 350, Carmel, IN 46032-3009 | 2009-03-04 |
| 1396903589 | Riesa M. Burnett | Surgery | 13450 N Meridian St Ste 244, Carmel, IN 46032-7105 | 2008-05-25 |
| 1275725236 | Thomas Kramer Overett | Surgery | 2 San Antonio Ave Nw 4th, Carmel, CA 93921 | 2007-08-14 |
| 1063627479 | Erica M Giblin | Surgery | 13450 N Meridian St Ste 135, Carmel, IN 46032-1546 | 2007-05-11 |
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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.