Organization Active NPI

Ted H. Gabrielsen M.D., Inc.

Doing business as Gabrielsen Surgical Associates

  • Surgery Physician
  • Greenfield, IN
National Provider Identifier
1487853487
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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.NPI 1205054228
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.