Indiana Hernia Center, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01063653A Issued in IN

Legal business name

INDIANA HERNIA CENTER, LLC

Practice address

8435 Clearvista PL Ste 104
Indianapolis, IN 46256-3761

Phone

(317) 868-1305

Fax

(317) 645-1477

NPI assigned

Apr 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Paul Szotek, MDNPI 1649437922

Title

Owner

Phone

(317) 660-5262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul P Szotek Jr., M.D.

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1649437922
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1265939656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 GADSEN CIR S",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328393",
            "telephone_number": "317-868-1305",
            "fax_number": "317-645-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 CLEARVISTA PL STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563761",
            "telephone_number": "317-868-1305",
            "fax_number": "317-645-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HERNIA CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "SZOTEK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-660-5262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01063653A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Indiana Immediate Care
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• Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.