Organization Active NPI

Indiana Neuroscience Associates

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1023115243
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1000829A Issued in IN
Legal business name
INDIANA NEUROSCIENCE ASSOCIATES
Practice address
8333 Naab Rd Ste 260
Indianapolis, IN 46260-1983
Phone
(317) 570-7900
Fax
(317) 570-2288
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Miss Candace M Day
Title
Crentialing Dept
Phone
(317) 570-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 1000829A IN Primary

Addresses

Primary practice location

8333 Naab Rd Ste 260
Indianapolis, IN 46260-1983

Mailing address

6330 Castleplace Dr # 130
Indianapolis, IN 46250-1902
Phone (317) 570-7900

Other identifiers 1

IdentifierTypeStateIssuer
01000829AOtherINSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

6330 Castleplace Dr
#130
Indianapolis, IN 46250

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1023115243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 CASTLEPLACE DR # 130",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501902",
            "telephone_number": "317-570-7900",
            "fax_number": "317-570-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 NAAB RD STE 260",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601983",
            "telephone_number": "317-570-7900",
            "fax_number": "317-570-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA NEUROSCIENCE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CRENTIALING DEPT",
        "authorized_official_telephone_number": "317-570-7900",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "1000829A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01000829A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.