Active NPI
Indiana Orthopaedic Center
- Orthopaedic Surgery Physician
- Shelbyville, IN
National Provider Identifier
1336309160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- INDIANA ORTHOPAEDIC CENTER
- Practice address
- 150 W Washington St
Shelbyville, IN 46176-1236 - Phone
- (317) 588-2663
- Fax
- (317) 588-2727
- NPI assigned
- Jun 16, 2008
- 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
- Donna C Sanford
- Title
- Billing Manager
- Phone
- (317) 863-2180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
150 W Washington St
Shelbyville, IN 46176-1236
Mailing address
7930 N Shadeland Ave
Indianapolis, IN 46250-2041
Phone (317) 588-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 897960 | Other | IN | MEDICARE PROVIDER # |
National Provider Directory
National Provider Directory- Tax ID family
- Indiana Orthopaedic Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Franklin, IN
- NPI 1962706309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1336309160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7930 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502041",
"telephone_number": "317-588-2663",
"fax_number": "317-588-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W WASHINGTON ST",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461761236",
"telephone_number": "317-588-2663",
"fax_number": "317-588-2727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIANA ORTHOPAEDIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "SANFORD",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "317-863-2180"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER #",
"identifier": "897960",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.