Active NPI
Ted H. Gabrielsen M.D., Inc.
Doing business as Gabrielsen Surgical Associates
- Surgery Physician
- Greenfield, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- TED H. GABRIELSEN M.D., INC.
- Doing business as
- Gabrielsen Surgical Associates
- Practice address
- 1 Memorial SQ Ste 100
Greenfield, IN 46140-2819 - Phone
- (317) 462-3255
- Fax
- (317) 462-7648
- NPI assigned
- Jul 11, 2007
- Last updated
- Jul 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ted H. Gabrielsen, M.D.
- Title
- President
- Phone
- (317) 462-3255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1 Memorial SQ Ste 100
Greenfield, IN 46140-2819
Mailing address
1 Memorial SQ Ste 100
Greenfield, IN 46140-2819
Phone (317) 462-3255
Other names 1
- Gabrielsen Surgical Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Greenfield, IN
- NPI 1205054228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1487853487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEMORIAL SQ STE 100",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461402819",
"telephone_number": "317-462-3255",
"fax_number": "317-462-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL SQ STE 100",
"city": "GREENFIELD",
"state": "IN",
"postal_code": "461402819",
"telephone_number": "317-462-3255",
"fax_number": "317-462-7648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TED H. GABRIELSEN M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "GABRIELSEN",
"authorized_official_first_name": "TED",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-462-3255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gabrielsen Surgical Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.