Green Surgical, LLC.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

GREEN SURGICAL, LLC.

Practice address

8687 Connecticut St
Suite D
Merrillville, IN 46410-6361

Phone

(219) 750-9630

NPI assigned

Sep 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tarek Shahbandar, M.D.

Title

Owner

Phone

(219) 750-9630

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1235687666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10713",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46411",
            "telephone_number": "219-750-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 CONNECTICUT ST",
            "address_2": "SUITE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106361",
            "telephone_number": "219-750-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SURGICAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "SHAHBANDAR",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-750-9630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Martha Grantner, MSW
• Michelle Sue Graun, COTA
• Carol L Gray, COTA/L
• Gwen Alane Graystone, P.T.
• Emily Greco
• Michael Green
• Precious Green
• Kristina Greene, R.D.,M.S., C.D.E.
• Maria Angelica Cosio Greer, BS
• Phaedra Greer

• Pain Clinic/Center in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Pain Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.