Northwest Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

61100198B Issued in IN

Legal business name

NORTHWEST SURGERY CENTER LLC

Practice address

8651 Township Line Road
Indianapolis, IN 46260-1578

Phone

(317) 621-3010

Fax

(317) 621-3011

NPI assigned

Nov 11, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Hughes

Title

Director of Business Operations

Phone

(317) 621-7509

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Foot & Ankle Surgery Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Visionary Enterprises Inc

  • Prosthetic/Orthotic Supplier
  • Indianapolis, IN
  • NPI 1881902328

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1003897448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 TOWNSHIP LINE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601578",
            "telephone_number": "317-621-3010",
            "fax_number": "317-621-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8651 TOWNSHIP LINE ROAD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601578",
            "telephone_number": "317-621-3010",
            "fax_number": "317-621-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "317-621-7509"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "61100198B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000098120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200066340A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200066340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hanna Norton
• Kylee Norton, RBT
• Monica Marie Norton

• All providers in Indianapolis, IN
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.