Organization Active NPI

Ireland Hip & Knee Surgery PC

  • Orthopaedic Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1659406692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01025374A Issued in IN
Legal business name
IRELAND HIP & KNEE SURGERY PC
Practice address
9302 N Meridian St
Suite 299
Indianapolis, IN 46260-1873
Phone
(317) 816-5611
Fax
(317) 816-5616
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Janice K Boles, RN
Title
Administrator
Phone
(317) 816-5614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 01025374A IN Primary

Addresses

Primary practice location

9302 N Meridian St
Suite 299
Indianapolis, IN 46260-1873

Mailing address

9302 N Meridian St
Suite 299
Indianapolis, IN 46260-1873
Phone (317) 816-5611

Other names 1

  • Drs Ireland & Stack PC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659406692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302 N MERIDIAN ST",
            "address_2": "SUITE 299",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601873",
            "telephone_number": "317-816-5611",
            "fax_number": "317-816-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9302 N MERIDIAN ST",
            "address_2": "SUITE 299",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601873",
            "telephone_number": "317-816-5611",
            "fax_number": "317-816-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRELAND HIP & KNEE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-816-5614",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01025374A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Ireland & Stack PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.