Organization Active NPI

CPN General Surgical Care South

  • Surgery Physician
  • Greenwood, IN
National Provider Identifier
1306942859
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Jun 25, 2015

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200172840AMedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
West Chester Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.