Active NPI
Sadove Plastic Surgery, LLC
- Plastic Surgery Physician
- Indianapolis, IN
National Provider Identifier
1245302538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryLocations
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.