Orthopaedic Spine Center PC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

01032191A Issued in IN

Legal business name

ORTHOPAEDIC SPINE CENTER PC

Practice address

5255 E.Stop 11 Road
Suite 250
Indianapolis, IN 46237-6343

Phone

(317) 865-5737

Fax

(317) 865-5780

NPI assigned

Dec 13, 2007

Last updated

Dec 13, 2007By 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

Dr. John Gerald Peters, MD

Title

Physician/Owner

Phone

(317) 865-5737

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

John G Peters MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orthpaedic Spine Center, PC

  dba John G. Peters, MD

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1588847297
  NPD tax ID

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1457534497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 E.STOP 11 ROAD",
            "address_2": "SUITE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376343",
            "telephone_number": "317-865-5737",
            "fax_number": "317-865-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 E.STOP 11 ROAD",
            "address_2": "SUITE 250",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376343",
            "telephone_number": "317-865-5737",
            "fax_number": "317-865-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC SPINE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "317-865-5737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IN",
            "license": "01032191A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE#",
            "identifier": "268860A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myriam Ortega Caceres, FNP-C
• Elisa Malenny Ortega-Garcia, RBT
• Marta E. Ortegon, PA
• Orthodontic Experts of Indiana, LLC
• Orthodontic Experts of Indiana, LLC
• Orthopaedic Supplies Incorporated
• Orthopaedics-Indianapolis, Inc (Orthoindy-Northwest)
• Orthopaedics-Indianapolis, Inc (Orthoindy - St. Vincent Indianapolis)
• Orthopaedics-Indianapolis, Inc
• Orthopaedics-Indianapolis, Inc (Orthoindy)

• Orthopaedic Surgery of the Spine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Orthopaedic Surgery of the Spine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.