Indiana CRH Surgeons, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

INDIANA CRH SURGEONS, P.C.

Practice address

1111 Ronald Reagan Pkwy
#B-1540
Avon, IN 46123-7085

Phone

(317) 217-3675

Fax

(317) 217-2559

NPI assigned

Jun 24, 2008

Last updated

Jun 24, 2008By 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

Sarah Standley, MBA

Title

Manager, Contracting

Phone

(425) 284-7890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1376704056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 LAKE WASHINGTON BLVD NE",
            "address_2": "SUITE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337874",
            "telephone_number": "425-284-7890",
            "fax_number": "425-284-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RONALD REAGAN PKWY",
            "address_2": "#B-1540",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237085",
            "telephone_number": "317-217-3675",
            "fax_number": "317-217-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA CRH SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "STANDLEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, CONTRACTING",
        "authorized_official_telephone_number": "425-284-7890",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.