Active NPI
Wellbridge Surgical, LLC
- Ambulatory Surgical Clinic/Center
- Zionsville, IN
National Provider Identifier
1497424717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WELLBRIDGE SURGICAL, LLC
- Practice address
- 6300 Technology Center Dr.
Zionsville, IN 46077 - Phone
- (317) 432-7035
- NPI assigned
- Sep 9, 2021
- 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
- Liz Hussey
- Title
- Credentialing Manager
- Phone
- (469) 853-7392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
6300 Technology Center Dr.
Zionsville, IN 46077
Mailing address
6300 Technology Center Dr.
Zionsville, IN 46077
Phone (317) 432-7035
National Provider Directory
National Provider DirectoryLocations
6300 Technology Center Dr
Indianapolis, IN 46278
Phone (317) 480-4200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Carmel, IN
- NPI 1346496932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631145600000",
"number": "1497424717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 TECHNOLOGY CENTER DR.",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "46077",
"telephone_number": "317-432-7035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 TECHNOLOGY CENTER DR.",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "46077",
"telephone_number": "317-432-7035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLBRIDGE SURGICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-08-24",
"status": "A",
"authorized_official_last_name": "HUSSEY",
"authorized_official_first_name": "LIZ",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "469-853-7392"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zionsville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.