Spring Mill Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SPRING MILL SURGERY CENTER, LLC

Practice address

200 W 103Rd St
Indianapolis, IN 46290-1092

Phone

(317) 274-4402

Fax

(317) 274-5168

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Joan M Pea

Title

Administrator

Phone

(317) 274-3960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164537411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MERIDIAN ST STE 114",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041208",
            "telephone_number": "317-274-4402",
            "fax_number": "317-274-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 103RD ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901092",
            "telephone_number": "317-274-4402",
            "fax_number": "317-274-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING MILL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEA",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-274-3960"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Louise Sprague, DNP, RN, ACNS-BC, CC
• Carolynn Sue Sprague
• Jyssika Lynn Spray, MSN, FNP-C
• Autumn Sprecher, MSW
• Gwen C Sprehn, PHD
• Spring Psychology
• Noah Zephyr Spring, PSY.D., HSPP
• Rachael Tricia Springer, MD
• Springfield Health Care Center, Inc
• Fashana Springfield

• Ambulatory Surgical Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Ambulatory Surgical Clinic/Center 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.