Organization Active NPI

Surgeons, Inc

  • Surgery Physician
  • Noblesville, IN
National Provider Identifier
1447468830
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
50000148A Issued in IN
Legal business name
SURGEONS, INC
Practice address
9660 E 146TH St Ste 100
Noblesville, IN 46060-3097
Phone
(317) 773-6677
Fax
(317) 773-3322
NPI assigned
May 18, 2007
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Dr. Robert Franklin Jackson, M.D.
Title
Physician
Phone
(317) 773-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 50000148A IN Primary

Addresses

Primary practice location

9660 E 146TH St Ste 100
Noblesville, IN 46060-3097

Mailing address

9660 E 146TH St Ste 100
Noblesville, IN 46060-3097
Phone (317) 773-6677

Other identifiers 1

IdentifierTypeStateIssuer
100123060AMedicaidIN

National Provider Directory

National Provider Directory

Locations

330 N Wabash Ave
Ste 450
Marion, IN 46952
Phone (765) 660-7690

801 W Gardner Dr
Marion, IN 46952
Phone (765) 651-4278

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1447468830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 E 146TH ST STE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603097",
            "telephone_number": "317-773-6677",
            "fax_number": "317-773-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 E 146TH ST STE 100",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603097",
            "telephone_number": "317-773-6677",
            "fax_number": "317-773-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGEONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "317-773-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "50000148A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100123060A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.