Eagle Highlands Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAGLE HIGHLANDS SURGERY CENTER LLC

Doing business as

Eagle Highlands Surgery Center

Practice address

6850 Parkdale PL
Indianapolis, IN 46254-4670

Phone

(317) 329-7209

Fax

(317) 329-7293

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Robert Boeglin

Title

Vice President, Ehsc

Phone

(317) 562-5660

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eagle Highlands Surgery Center Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• American Health Network of Indiana, LLC

  • Family Medicine Physician
  • Carmel, IN
  • NPI 1245334457

  Member Of

  NPD member
• Indiana University Health, Inc

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, IN
  • NPI 1902061583

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1245287697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 PARKDALE PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544670",
            "telephone_number": "317-329-7209",
            "fax_number": "317-329-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 PARKDALE PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462544670",
            "telephone_number": "317-329-7209",
            "fax_number": "317-329-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HIGHLANDS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BOEGLIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT, EHSC",
        "authorized_official_telephone_number": "317-562-5660"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200848180A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZJ7070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Highlands Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eagle Creek Dermatology
• Eagle Creek Internal Medicine PC
• Eagle Creek Obstetrics & Gynecology, PC
• Eagle Creek Urgent Care LLC
• Eagle Highland Pharmacy Inc
• Eagle Highlands Surgery Center, LLC
• Jordan Kait Eagleson, LPTA
• Bridget Eaker
• Kara Eaks, LPN
• Lina R Ealy, B.C.B.A.

• 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 Jan 3, 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.