Organization Active NPI

Indiana General Surgery, P.C.

  • Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1609889526
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
INDIANA GENERAL SURGERY, P.C.
Practice address
3520 Guion Rd
Suite 301
Indianapolis, IN 46222-1692
Phone
(317) 924-4009
Fax
(317) 926-8410
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Mrs. Wendy L Buckler, CMM
Title
Practice Manager
Phone
(317) 924-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3520 Guion Rd
Suite 301
Indianapolis, IN 46222-1692

Mailing address

3520 Guion Rd
Suite 301
Indianapolis, IN 46222-1692
Phone (317) 924-4009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1609889526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 GUION RD",
            "address_2": "SUITE 301",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221692",
            "telephone_number": "317-924-4009",
            "fax_number": "317-926-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GUION RD",
            "address_2": "SUITE 301",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221692",
            "telephone_number": "317-924-4009",
            "fax_number": "317-926-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA GENERAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "BUCKLER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-924-4009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.