University Pediatric Plastic Surgery Associates, PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

UNIVERSITY PEDIATRIC PLASTIC SURGERY ASSOCIATES, PC

Practice address

545 Barnhill Dr
Eh 232
Indianapolis, IN 46202-5112

Phone

(317) 274-3636

Fax

(317) 278-8746

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John J Coleman III, M.D.

Title

Director, I.U. Plastic Surgery Dept

Phone

(317) 274-3636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Patricia Terrell, CPNP

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
  • NPI 1336240753
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043332695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462660001",
            "telephone_number": "317-278-7019",
            "fax_number": "317-481-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BARNHILL DR",
            "address_2": "EH 232",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025112",
            "telephone_number": "317-274-3636",
            "fax_number": "317-278-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PEDIATRIC PLASTIC SURGERY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR, I.U. PLASTIC SURGERY DEPT",
        "authorized_official_telephone_number": "317-274-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Indianapolis (Koval Nursing Center)
• University Orthopaedic Associates, Inc.
• University Otolaryngology Associates, Inc.
• University Pediatric Associates, Inc.
• University Pediatric Dentistry Associates
• University Physiatric Associates, Inc.
• University Plastic Surgery Associates, PC
• University Radiation Oncology Associates, Inc.
• University Surgeons Critical Care, LLC
• University Surgeons Pediatrics LLC

• Plastic and Reconstructive Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Plastic and Reconstructive Surgery Physician in Indiana

• 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.