Individual provider Active NPI

Paul Samuel Page, M.D.

  • Neurological Surgery Physician
  • Avon, IN
National Provider Identifier
1396108734
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
68787 Issued in WI
Practice address
120 Avon Market PL Ste 100
Avon, IN 46123-6021
Phone
(317) 396-1300
Fax
(317) 396-1395
NPI assigned
Apr 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 01092400A IN
Neurological Surgery Physician 207T00000X 68787 WI Primary

Addresses

Primary practice location

120 Avon Market PL Ste 100
Avon, IN 46123-6021

Mailing address

13345 Illinois St
Carmel, IN 46032-3318
Phone (317) 396-1300

Other practice location 1

Uw Hospitals and Clinics
600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240802000401 IN Practitioner - Neurosurgery 4981984762 Reassigns benefits to 3 organizations
I20260414000640 WI Practitioner - Neurosurgery 4981984762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Louisville School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

120 Avon Market PL
Suite 100
Avon, IN 46123-6021
Phone (317) 396-1300

1513 N 6TH
Terre Haute, IN 47807-1039
Phone (812) 232-0564

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion121
Laminectomy or laminotomy (partial removal of spine bones)50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Indianapolis Neurosurgical Group PC Neurological Surgery CurrentSince Aug 26, 2024 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Aug 26, 2024 Accepting new patients
Union Hospital, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Aug 26, 2024 Accepting new patients
Union Hospital Inc Past Accepting new patients

Locations

120 Avon Market Pl
Ste 100
Avon, IN 46123

13345 Illinois St
Carmel, IN 46032
Phone (317) 396-1328

1530 N 7th St
Ste 501
Terre Haute, IN 47807
Phone (812) 238-4555

1530 N 7th St
Ste 500
Terre Haute, IN 47807
Phone (812) 238-4555

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1513 N 6th St
Terre Haute, IN 47807
Phone (812) 238-7631

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

Interoperability endpoints

  • Direct secure messaging: paul.page.p1@direct.goodmancampbell.nextgenshare.com
  • Direct secure messaging: ppage@unionhealth.cernerdirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1396108734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13345 ILLINOIS ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323318",
            "telephone_number": "317-396-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 AVON MARKET PL STE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236021",
            "telephone_number": "317-396-1300",
            "fax_number": "317-396-1395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Uw Hospitals and Clinics",
            "address_2": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537920001",
            "country_code": "US",
            "telephone_number": "608-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "PAUL",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-02",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01092400A",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "68787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.