Active NPI
Eastern Indiana Center for Ambulatory Surgery LLC
- Ambulatory Surgical Clinic/Center
- Richmond, IN
National Provider Identifier
1205801461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- EASTERN INDIANA CENTER FOR AMBULATORY SURGERY LLC
- Practice address
- 1350 Chester Blvd
Richmond, IN 47374-1907 - Phone
- (765) 939-1351
- NPI assigned
- Feb 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph M Smith, M.D.
- Title
- Medical Director
- Phone
- (765) 939-1351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | IN | Primary |
Addresses
Primary practice location
1350 Chester Blvd
Richmond, IN 47374-1907
Mailing address
1350 Chester Blvd
Richmond, IN 47374-1907
Phone (765) 939-1351
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000098211 | Other | IN | ANTHEM PROVIDER NUMBER |
| 2069532 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1350 Chester Blvd
Ste 2A
Richmond, IN 47374
Phone (765) 939-3278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1205801461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 CHESTER BLVD",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741907",
"telephone_number": "765-939-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CHESTER BLVD",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741907",
"telephone_number": "765-939-1351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN INDIANA CENTER FOR AMBULATORY SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "765-939-1351",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000098211",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2069532",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- 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.