Organization Active NPI

Sadove Plastic Surgery, LLC

  • Plastic Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1245302538
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
SADOVE PLASTIC SURGERY, LLC
Practice address
170 W 106TH St
Indianapolis, IN 46290-1004
Phone
(317) 575-0330
Fax
(317) 846-5719
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alan Michael Sadove, M.D.
Title
President
Phone
(317) 575-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X IN Primary

Addresses

Primary practice location

170 W 106TH St
Indianapolis, IN 46290-1004

Mailing address

3925 River Crossing Pkwy
Third Floor
Indianapolis, IN 46240-2279
Phone (317) 472-2220

National Provider Directory

National Provider Directory

Locations

3925 River Crossing Pkwy
Fl Third
Indianapolis, IN 46240

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245302538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 RIVER CROSSING PKWY",
            "address_2": "THIRD FLOOR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402279",
            "telephone_number": "317-472-2220",
            "fax_number": "317-208-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 106TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901004",
            "telephone_number": "317-575-0330",
            "fax_number": "317-846-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADOVE PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SADOVE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-575-0330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, 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.

Verify at the official NPI Registry.