Active NPI
CPN General Surgical Care South
- Surgery Physician
- Greenwood, IN
National Provider Identifier
1306942859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CPN GENERAL SURGICAL CARE SOUTH
- Practice address
- 701 E County Line Rd
Suite 201
Greenwood, IN 46143-1072 - Phone
- (317) 865-8000
- Fax
- (317) 865-8012
- NPI assigned
- Sep 15, 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
- Stephen J O'Neil, MD
- Title
- Surgeon
- Phone
- (317) 865-8000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
701 E County Line Rd
Suite 201
Greenwood, IN 46143-1072
Mailing address
701 E County Line Rd
Suite 201
Greenwood, IN 46143-1072
Phone (317) 865-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200172840A | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- West Chester Hospital
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Fishers, IN
- NPI 1235871724
-
dba HSE Health and Wellness
- Family Medicine Physician
- Fishers, IN
- NPI 1841072691
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Locations
1001 Hadley Rd
Mooresville, IN 46158
Phone (317) 831-9340
1001 Hadley Rd
Ste 140
Mooresville, IN 46158
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Greenwood, IN
- NPI 1285664052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435190400000",
"number": "1306942859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E COUNTY LINE RD",
"address_2": "SUITE 201",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431072",
"telephone_number": "317-865-8000",
"fax_number": "317-865-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E COUNTY LINE RD",
"address_2": "SUITE 201",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431072",
"telephone_number": "317-865-8000",
"fax_number": "317-865-8012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CPN GENERAL SURGICAL CARE SOUTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2015-06-25",
"status": "A",
"authorized_official_last_name": "O'NEIL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "317-865-8000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200172840A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.