Meridian Surgical Group, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MERIDIAN SURGICAL GROUP, INC

Practice address

13430 N Meridian St
Suite 275
Carmel, IN 46032-1405

Phone

(317) 582-8810

Fax

(317) 582-8852

NPI assigned

Aug 31, 2006

Last updated

Apr 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen Renee Obrien

Title

Office Manager

Phone

(317) 582-8810

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18505/brand/1/csg/1/fhir/r4

Practitioners 3

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.

• Darren Earnshaw, PT

  • Physical Therapist
  • Merrillville, IN
  • NPI 1346270162
  NPD
• Nicole Leigh Fornalik, PA-C

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1982635587
  NPD (past)
• Holly Elizabeth Raimondi, PA-C

  • Surgical Physician Assistant
  • Hobart, IN
  • NPI 1093710105
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1376655613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 N MERIDIAN ST",
            "address_2": "SUITE 275",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321405",
            "telephone_number": "317-582-8810",
            "fax_number": "317-582-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 N MERIDIAN ST",
            "address_2": "SUITE 275",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321405",
            "telephone_number": "317-582-8810",
            "fax_number": "317-582-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN SURGICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-582-8810",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200348900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meridian North Imaging Center LLC
• Meridian Orothpedics, P.C.
• Meridian Orthopedics, PC
• Meridian Pediatrics
• Meridian Pediatrics LLC
• Jeffrey Merwin
• Aadam Ismail Merzoug
• Mohamed Merzoug
• George Mesalam, RPH
• Diana Meseha

• Surgery Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.