Indiana Back Center PC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

01039661 Issued in IN

Legal business name

INDIANA BACK CENTER PC

Practice address

13450 N Meridian St
Ste 244
Carmel, IN 46032-1546

Phone

(317) 846-4484

Fax

(317) 571-2344

NPI assigned

May 11, 2007

Last updated

Jan 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John A Shay, MDNPI 1255375994

Title

Owner

Phone

(317) 846-4484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John A Shay, M.D.

  • Specialist
  • Carmel, IN
  • NPI 1255375994
  Authorized official Same address or phone
• Linda K Prokai, PA-C

  • Physician Assistant
  • Carmel, IN
  • NPI 1154540847
  NPD (past)
• John Louis Beghin, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Phoenix, AZ
  • NPI 1710903455
  NPD (past)

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1205041340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST",
            "address_2": "STE 244",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321546",
            "telephone_number": "317-846-4484",
            "fax_number": "317-571-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13450 N MERIDIAN ST",
            "address_2": "STE 244",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321546",
            "telephone_number": "317-846-4484",
            "fax_number": "317-571-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA BACK CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "SHAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-846-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IN",
            "license": "01039661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN INDIVIDUAL NPI",
            "identifier": "1255375994",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery of the Spine Physician in Carmel, IN
• Providers in Carmel, 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 Jan 4, 2011; 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.