INDIANAPOLIS NEUROSURGICAL GROUP (NPI# 1811108160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811108160 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS NEUROSURGICAL GROUP |
| Other Organization Name | GOODMAN CAMPBELL BRAIN AND SPINE |
| Practice Address |
8111 Township Line Rd Indianapolis IN 46260-2479 |
| Mailing Address |
8333 Naab Rd 250 Indianapolis IN 46260-5924 |
| Practice Telephone | 3173961300 |
| Mailing Telephone | 3173961300 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2009-12-29 |
| Authorized Official Name | DEREK CANTRELL (CFO) |
| Authorized Official Telephone | 3173961300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100318390S | 05 |
| Other Name | Type Code |
|---|---|
| Goodman Campbell Brain and Spine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669701629 | Indianapolis Neurosurgical Group | Nurse Practitioner | 702 Riley Hospital Dr, Suite 1134, Indianapolis, IN 46202-5139 | 2009-12-21 |
| 1154541753 | Indianapolis Neurosurgical Group | Radiologic Technologist | 1925 N. Capitol Avenue, Indianapolis, IN 46202 | 2007-04-26 |
| 1477883916 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2010-01-06 |
| 1881923837 | Indianapolis Neurosurgical Group | Nurse Practitioner | 550 University Blvd, Uh 1295, Indianapolis, IN 46202-5149 | 2009-12-21 |
| 1316276363 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 | 2009-12-21 |
| 1689903635 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1001 W 10th St, Rg 4th Floor, Indianapolis, IN 46202-2859 | 2009-12-21 |
| 1033448097 | Indianapolis Neurosurgical Group | Nurse Practitioner | 11725 N Illinois St, Suite 275, Carmel, IN 46032-3008 | 2009-12-21 |
| 1851620801 | Indianapolis Neurosurgical Group | Nurse Practitioner | 535 Barnhill Dr, Rt, 2nd Floor, Indianapolis, IN 46202-5116 | 2009-12-21 |
| 1336380617 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1633 N Capitol Ave, Ste 300, Indianapolis, IN 46202-1261 | 2009-03-16 |
| 1679733166 | Indianapolis Neurosurgical Group | Physical Medicine & Rehabilitation | 355 W 16th St, Suite 5100, Indianapolis, IN 46202-2207 | 2008-06-10 |
| Street Address |
8111 TOWNSHIP LINE RD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053301143 | Caroline Ann Maylock | Pediatrics | 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 | 2005-10-28 |
| 1891327730 | Claire Richey | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2020-02-09 |
| 1245861848 | Cindy Ann Syrek | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2020-02-01 |
| 1356832638 | Jenna K Maple | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2018-05-23 |
| 1194221929 | Edwin Neal Shoemaker | Student in an Organized Health Care Education/Training Program | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2018-04-02 |
| 1417451147 | Hollie Elizabeth Ainley | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2018-03-19 |
| 1760915854 | Krystal K Marshall | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2017-04-06 |
| 1164961660 | Morgan D Crum | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2017-02-16 |
| 1154772465 | Debra A Moon | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2016-06-28 |
| 1548614191 | Jessica L Greene | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260-2479 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1730317090 | Graham Charles Hall | Neurological Surgery | 1550 E County Line Rd Ste 201, Indianapolis, IN 46227-1082 | 2009-06-25 |
| 1235131103 | Ronald L Young II | Neurological Surgery | 8333 Naab Rd, 250, Indianapolis, IN 46260-5924 | 2005-08-11 |
| 1790788321 | Scott A Shapiro | Neurological Surgery | 355 W 16th St, Suite 5100, Indianapolis, IN 46202-2207 | 2005-05-27 |
| 1518960004 | Jodi L Smith | Neurological Surgery | 702 Barnhill Dr, Suite 1134, Indianapolis, IN 46202-5128 | 2005-05-27 |
| 1104829746 | Michael B Pritz | Neurological Surgery | 1801 N Senate Blvd, Suite 535, Indianapolis, IN 46202-1291 | 2005-05-27 |
| 1518960186 | Joel C Boaz | Neurological Surgery | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46260-1393 | 2005-05-27 |
| 1043213648 | Neurosurgical Associates of Indiana, PC | Neurological Surgery | 7369 Shadeland Station Way, Ste 100, Indianapolis, IN 46256-3958 | 2005-05-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on INDIANAPOLIS NEUROSURGICAL GROUP.
| 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.