Northside Orthopaedic Center, PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTHSIDE ORTHOPAEDIC CENTER, PC

Practice address

13914 Southeastern Pkwy
Suite 201
Fishers, IN 46037-7127

Phone

(317) 275-1999

Fax

(317) 275-1945

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Micheal F. Kaveney, M.D.

Title

Physician/Owner

Phone

(317) 275-1999

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1306876388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY",
            "address_2": "SUITE 201",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377127",
            "telephone_number": "317-275-1999",
            "fax_number": "317-275-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY",
            "address_2": "SUITE 201",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377127",
            "telephone_number": "317-275-1999",
            "fax_number": "317-275-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE ORTHOPAEDIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "KAVENEY",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "317-275-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200373990A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5506996",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duck Sun Noel
• Riley Lynn Noel
• North Star Pediatrics, P.C.
• Samantha Kaye Northcraft, RBT
• Northside Dermatology, LLC
• Sue Ellyn Nottingham, FNP
• Randa Nouk
• Nami Novak
• Mary Stephanie Liberato Novales, RPT
• Elizabeth Anne Nowacki, D.O.

• Orthopaedic Surgery Physician in Fishers, IN
• Providers in Fishers, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.