Carmel Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

06-003497-1 Issued in IN

Legal business name

CARMEL AMBULATORY SURGERY CENTER LLC

Practice address

13421 Old Meridian St
Suite 100
Carmel, IN 46032-1427

Phone

(317) 706-1600

Fax

(317) 706-1601

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Miss Charlotte Boden

Title

Director

Phone

(317) 706-1611

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Carmel Ambulatory Surgery Center LLCCCN 15C0001129

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Vincent Carmel Hospital, Inc.

  • General Acute Care Hospital
  • Carmel, IN
  • NPI 1639124134

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Rothbaum, M.D.

  • Ophthalmology Physician
  • Noblesville, IN
  • NPI 1154387611
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1497782833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13421 OLD MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321427",
            "telephone_number": "317-706-1600",
            "fax_number": "317-706-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 OLD MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321427",
            "telephone_number": "317-706-1600",
            "fax_number": "317-706-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "317-706-1611",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "06-003497-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00086251",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200464700B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana M. Carlsen
• Elvia Carlson
• Zoey Jean Marie Carlson
• Christine Marie Carlston, CCC-SLP
• Carmel Allergy LLC
• Carmel Ambulatory Surgery Center,LLC
• Carmel Care Center
• Carmel Clay Schools
• Carmel Counseling Group LLC
• Carmel Counseling LLC

• Ambulatory Surgical Clinic/Center in Carmel, IN
• Providers in Carmel, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.