Indiana Spine Group, PC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

50004386A Issued in IN

Legal business name

INDIANA SPINE GROUP, PC

Practice address

1115 N. Ronald Reagan Pkwy.
Suite 148
Avon, IN 46123-6913

Phone

(317) 228-7000

Fax

(317) 228-2321

NPI assigned

May 24, 2013

Organization subpart

Yes

Parent organization

INDIANA SPINE GROUP, PCAs reported in NPPES

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

Authorized official

Name

Hardeep Sikand, MBA

Title

Ceo

Phone

(317) 228-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

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

• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Greenfield, IN
  • NPI 1275014755

  O20040308001261

  Same enrollment
• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Danville, IN
  • NPI 1295000917

  O20040308001261

  Same enrollment
• Indiana Spine Group, PC

  • Neurological Surgery Physician
  • Fishers, IN
  • NPI 1467639567

  O20040308001261

  Same enrollment
• Indiana Spine Group, PC

  • Pain Medicine (Anesthesiology) Physician
  • Greenwood, IN
  • NPI 1508220633

  O20040308001261

  Same enrollment
• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Indianapolis, IN
  • NPI 1538346689

  O20040308001261

  Same enrollment
• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Carmel, IN
  • NPI 1609960046

  O20040308001261

  Same enrollment
• Indiana Spine Group, PC

  • Orthopaedic Surgery of the Spine Physician
  • Kokomo, IN
  • NPI 1861679094

  O20040308001261

  Same enrollment

Part of

Indiana Spine Group PC

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1144667635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N. RONALD REAGAN PKWY.",
            "address_2": "SUITE 148",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236913",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA SPINE GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INDIANA SPINE GROUP, PC",
        "enumeration_date": "2013-05-24",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "SIKAND",
        "authorized_official_first_name": "HARDEEP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-228-7000",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IN",
            "license": "50004386A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000214063",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Avon, IN
• Providers in Avon, IN by specialty
• Orthopaedic Surgery of the Spine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.