Central Indiana Orthopedic Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC

Practice address

3600 W Bethel Ave
Muncie, IN 47304-5407

Phone

(765) 213-3864

NPI assigned

Jun 25, 2018

Organization subpart

Yes

Parent organization

CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Brenda K Campbell

Title

Executive Secretary

Phone

(765) 213-3864

Specialties & licenses 1

Addresses

Other names 1

• OrthoAlliance of Indiana Doing business as

Tax ID family

Central Indiana Orthopedic Surgery Center LLC2 organizations share this tax ID, including this one

Part of

Central Indiana Orthopedic Surgery Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Indiana Orthopedic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Muncie, IN
  • NPI 1447260575
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Indiana Orthopedic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Muncie, IN
  • NPI 1447260575
  NPPES parent name

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1164917050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "765-213-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "765-213-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER, LLC",
        "enumeration_date": "2018-06-25",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE SECRETARY",
        "authorized_official_telephone_number": "765-213-3864"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoAlliance of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Caylor, RBT
• Angel Cazares
• Center for Psychological Development, PC
• Centerwell Certified Healthcare Corp.
• Central Indiana OB/GYN, LLC
• Central Indiana Orthopedic Surgery Center, LLC
• Central Indiana Orthopedics LLC
• Central Indiana Orthopedics, LLC
• Central Indiana Physical Medicine & Rehab
• Central Indiana-Amg Specialty Hospital, LLC

• Ambulatory Surgical Clinic/Center in Muncie, IN
• Providers in Muncie, 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 May 18, 2023; 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.