INDIANAPOLIS NEUROSURGICAL GROUP (NPI# 1881611242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881611242 |
| Entity Type | Organization |
| Organization Name | INDIANAPOLIS NEUROSURGICAL GROUP |
| Other Organization Name | GOODMAN CAMPBELL BRAIN AND SPINE |
| Practice Address |
2505 N Lebanon St Lebanon IN 46052-8612 |
| Mailing Address |
8333 Naab Rd 255 Indianapolis IN 46260-5924 |
| Practice Telephone | 3173961300 |
| Mailing Fax Number | 3173961346 |
| Enumeration Date | 2006-07-16 |
| 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 | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| 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 |
2505 N LEBANON ST |
| City | LEBANON |
| State | IN |
| Zip Code | 46052-8612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750375689 | Ted R Winkler | Obstetrics & Gynecology | 2505 N Lebanon St, Suite 208, Lebanon, IN 46052-8612 | 2005-09-07 |
| 1922277318 | Cancer Care Group, P.C. | Radiology | 2505 N Lebanon St, Suite 100, Lebanon, IN 46052-8612 | 2008-02-29 |
| 1700074820 | Joseph Stuart Rossi | Internal Medicine | 2505 N Lebanon St, Ste 200, Lebanon, IN 46052-8611 | 2007-10-15 |
| 1275743478 | Dawn Rene Stepp | Occupational Therapist | 2505 N Lebanon St, Suite 115, Lebanon, IN 46052-8612 | 2007-05-23 |
| 1386672715 | Emily Kaufman Frank | Internal Medicine | 2505 N Lebanon St, Ste 220, Lebanon, IN 46052-8612 | 2006-06-28 |
| 1639164999 | Creekside Obgyn PC | Obstetrics & Gynecology | 2505 N Lebanon St, Ste 208, Lebanon, IN 46052-8612 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| Find all providers in zip 46052 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750647426 | Robert T Knipe | Anesthesiology | 956 Isabel Dr, Lebanon, PA 17042-7482 | 2012-04-07 |
| 1285903245 | Lebanon Pain Relief Center PC | Anesthesiology | 918 Russell Dr, Lebanon, PA 17042-7400 | 2011-12-21 |
| 1164723490 | Mary Ann Suriel | Anesthesiology | 1 Medical Center Dr, Dartmouth-hitchcock Medical Center, Lebanon, NH 03756-1000 | 2010-11-03 |
| 1801041744 | Kelsi Erin Tagliati | Anesthesiology | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2008-11-19 |
| 1346412194 | Bruce Martin Vrooman | Anesthesiology | 1 Medical Center Dr, Pain Management, Lebanon, NH 03756-0001 | 2008-04-01 |
| 1407063449 | Michael C Knox | Anesthesiology | 2705 N Lebanon St, Ste 155, Lebanon, IN 46052-8621 | 2007-05-17 |
| 1609938844 | Andrew Kai Chung Wong | Anesthesiology | 1510 Cornwall Rd, Lebanon, PA 17042-7479 | 2006-12-14 |
| 1043303696 | Tabitha Antoinette Washington | Anesthesiology | 1 Medical Center Dr, Dhmc Department of Anesthesiology, Pain Medicine, Lebanon, NH 03756-1000 | 2006-10-02 |
| 1629099106 | Daniel Michael Lorenzo | Anesthesiology | 918 Russell Dr, Lebanon, PA 17042-7400 | 2006-07-21 |
| 1538105978 | Robert John Rose | Anesthesiology | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-06-22 |
| Find all providers in LEBANON | ||||
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.