Indianapolis Neurosurgical Group PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

INDIANAPOLIS NEUROSURGICAL GROUP PC

Practice address

1051 S Greenwood Springs Blvd
Suite 210
Greenwood, IN 46143-6479

Phone

(317) 396-1300

Fax

(317) 396-1346

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Derek Cantrell

Title

Cfo

Phone

(317) 396-1386

Specialties & licenses 2

Addresses

Other names 1

• Goodman Campbell Brain and Spine Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Indianapolis Neurosurgical Group PC

  • Neurological Surgery Physician
  • Carmel, IN
  • NPI 1275580318

  O20040324000655

  Same enrollment
• Indianapolis Neurosurgical Group PC

  • Neurological Surgery Physician
  • Indianapolis, IN
  • NPI 1528085974

  O20040324000655

  Same enrollment

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Depowell, MD

  • Neurological Surgery Physician
  • Carmel, IN
  • NPI 1467663757

  Neurological Surgery

  NPD
• Eric M. Horn, M.D.

  • Neurological Surgery Physician
  • Carmel, IN
  • NPI 1053437541

  Neurological Surgery

  NPD
• Carl J Sartorius, MD

  • Neurological Surgery Physician
  • Carmel, IN
  • NPI 1407849086

  Neurological Surgery

  NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1023035482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 S GREENWOOD SPRINGS BLVD",
            "address_2": "SUITE 201",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436479",
            "telephone_number": "317-396-1300",
            "fax_number": "317-396-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 S GREENWOOD SPRINGS BLVD",
            "address_2": "SUITE 210",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461436479",
            "telephone_number": "317-396-1300",
            "fax_number": "317-396-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANAPOLIS NEUROSURGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-396-1386"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodman Campbell Brain and Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indiana University Health Urgent Care Centers, LLC
• Indiana University Health Urgent Care Centers, LLC.
• Indiana University Health, Inc
• Indianapolis Home Care, Inc
• Indianapolis Home Care, Inc
• Indy Dental Health-Greenwood
• Indy Mobile Physical Therapy
• Indy Procare Physical Therapy Limited Partnership
• Indyderm LLC
• Alexandra Grace Ingram

• All providers in Greenwood, IN
• Neurological Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.