Organization Active NPI

Aesthetic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Carmel, IN
National Provider Identifier
1366647265
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008914 Issued in IN
Legal business name
AESTHETIC SURGERY CENTER LLC
Practice address
13590 N Meridian St
Carmel, IN 46032-1456
Phone
(317) 846-1028
NPI assigned
Jun 19, 2007
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
William BeesonNPI 1144236241
Title
Medical Director
Phone
(317) 826-1028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008914 IN Primary

Addresses

Primary practice location

13590 N Meridian St
Carmel, IN 46032-1456

Mailing address

13590 N Meridian St
Carmel, IN 46032-1456
Phone (317) 846-1028

Other identifiers 1

IdentifierTypeStateIssuer
008914OtherINLICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1366647265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321456",
            "telephone_number": "317-846-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321456",
            "telephone_number": "317-846-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "BEESON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "317-826-1028"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "008914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "008914",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.