Organization Active NPI

Neurosurgical Associates of Indiana, PC

  • Neurological Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1043213648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01032585 Issued in IN
Legal business name
NEUROSURGICAL ASSOCIATES OF INDIANA, PC
Practice address
7369 Shadeland Station Way
Ste 100
Indianapolis, IN 46256-3958
Phone
(317) 577-3900
Fax
(317) 579-7459
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeremy P Gilbert
Title
Office Manager
Phone
(317) 577-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 01032585 IN Primary

Addresses

Primary practice location

7369 Shadeland Station Way
Ste 100
Indianapolis, IN 46256-3958

Mailing address

7369 Shadeland Station Way
Ste 100
Indianapolis, IN 46256-3958
Phone (317) 577-3900

National Provider Directory

National Provider Directory

Locations

7321 Shadeland Sta
Ste 270
Indianapolis, IN 46256
Phone (317) 577-3900

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043213648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7369 SHADELAND STATION WAY",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563958",
            "telephone_number": "317-577-3900",
            "fax_number": "317-579-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7369 SHADELAND STATION WAY",
            "address_2": "STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563958",
            "telephone_number": "317-577-3900",
            "fax_number": "317-579-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL ASSOCIATES OF INDIANA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-577-3900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01032585",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.