GREENWOOD ORTHOPEDICS PC (NPI# 1598004434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598004434 |
| Entity Type | Organization |
| Organization Name | GREENWOOD ORTHOPEDICS PC |
| Practice Address |
3000 S State Road 135 Suite 210 Greenwood IN 46143-9607 |
| Practice Telephone | 3174976497 |
| Practice Fax Number | 3174976400 |
| Mailing Telephone | 3174976497 |
| Mailing Fax Number | 3174976400 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-08-12 |
| Authorized Official Name | RICHARD W JACKSON (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3174976497 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194184671 | Greenwood Orthopedics PC | Orthopaedic Surgery | 965 Emerson Parkway, Suite K, Greenwood, IN 46143-6274 | 2016-02-12 |
| 1083688600 | Greenwood Orthopedics PC | Orthopaedic Surgery | 1550 E County Line Rd, Suite 200, Indianapolis, IN 46227 | 2006-02-13 |
| Street Address |
3000 S STATE ROAD 135 SUITE 210 |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-9607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144250689 | David K Booth II | Family Medicine | 3000 S State Road 135, Suite 310, Greenwood, IN 46143-9825 | 2006-07-03 |
| 1386259786 | Amanda Jo Pantone | Dietitian, Registered | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2020-09-11 |
| 1144889486 | Jamie Marie Wallace | Physical Therapist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2019-06-11 |
| 1376029223 | Jordan Lee Clark | Pharmacist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2018-07-13 |
| 1649786765 | Chelsea Angelo | Speech-Language Pathologist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2017-12-27 |
| 1174066856 | Andrew Keith Roark | Physical Therapist | 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 | 2016-11-29 |
| 1982054771 | Kiersten Hunter | Speech-Language Pathologist | 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 | 2016-06-13 |
| 1992164297 | Jacqueline Fleagle | Physical Therapist | 3000 S State Road 135, Suite 110, Greenwood, IN 46143-9825 | 2016-02-15 |
| 1114357506 | Jillian E Sullivan | Psychologist | 3000 S State Road 135, Suite 230, Greenwood, IN 46143-9607 | 2013-11-20 |
| 1629407754 | Heidi Jo Coppess | Physical Therapist | 3000 S State Road 135, Greenwood, IN 46143-9607 | 2013-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194184671 | Greenwood Orthopedics PC | Orthopaedic Surgery | 965 Emerson Parkway, Suite K, Greenwood, IN 46143-6274 | 2016-02-12 |
| 1629003751 | Michael Josiah Maughon Jr. | Orthopaedic Surgery | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2006-07-11 |
| 1598725889 | Greenwood Leflore Hospital | Orthopaedic Surgery | 204 8th St, Greenwood, MS 38930-4012 | 2006-03-23 |
| 1235559790 | Mark Oliver | Orthopaedic Surgery | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2014-04-23 |
| 1861757213 | Pain Management Associates | Orthopaedic Surgery | 115 Academy Ave, Greenwood, SC 29646-3869 | 2012-07-11 |
| 1346504792 | Pain Management Associates | Orthopaedic Surgery | 105 Vinecrest Ct, Suite 605, Greenwood, SC 29646-8031 | 2012-06-30 |
| 1508123027 | Matthew Ryan Walker | Orthopaedic Surgery | 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143 | 2012-04-20 |
| 1033346168 | Jay Michael Culpepper | Orthopaedic Surgery | 204 8th St, Greenwood, MS 38930-4012 | 2009-06-16 |
| 1649447145 | Benjamin J Justice | Orthopaedic Surgery | 1260 Innovation Pkwy, #100, Greenwood, IN 46143-3602 | 2008-05-14 |
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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.