SURGICAL ASSOCIATES OF INDIANA, LLC (NPI# 1477659886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477659886 |
| Entity Type | Organization |
| Organization Name | SURGICAL ASSOCIATES OF INDIANA, LLC |
| Practice Address |
6350 Rucker Rd Suite 103 Indianapolis IN 46220-4874 |
| Practice Telephone | 3176822038 |
| Practice Fax Number | 3179207482 |
| Mailing Telephone | 3176822038 |
| Mailing Fax Number | 3179207482 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | CHRIS A LOWERY (OWNER) |
| Authorized Official Telephone | 3176822038 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200540630A | 05 |
| Street Address |
6350 RUCKER RD SUITE 103 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104922582 | Nephrology Associates of Indianapolis, LLC | Internal Medicine | 6350 Rucker Rd, Suite 103, Indianapolis, IN 46220-4893 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| 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 |
|---|---|---|---|---|
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1407293566 | Harry Dwight Brickley Jr. | Surgery | 1037 Tuckahoe, Indianapolis, IN 46260 | 2013-05-30 |
| 1992044572 | John Duncan Macdougall | Surgery | 7202 Dean Rd, Indianapolis, IN 46240-3628 | 2013-02-02 |
| 1548524176 | Jeffrey Lastfogel | Surgery | 350 N Meridian St Unit 807, Indianapolis, IN 46204-1773 | 2012-06-28 |
| 1003178898 | Kyle Norris Seudeal | Surgery | 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 | 2012-06-08 |
| 1679832463 | Kalyan Chowdary Gorantla | Surgery | 8402 Harcourt Rd Ste 815, Indianapolis, IN 46260-2057 | 2012-05-14 |
| 1124306824 | Amanda Rae Stram | Surgery | 1426 E Vermont St, Indianapolis, IN 46201-3045 | 2011-07-28 |
| 1790071280 | Sanjay Mohanty | Surgery | 550 University Blvd Ste 1295, Indianapolis, IN 46202-5149 | 2011-06-22 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on SURGICAL ASSOCIATES OF INDIANA, LLC.
| 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.