Organization Active NPI

Zollman Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Indianapolis, IN
National Provider Identifier
1699003400
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
01023513B Issued in IN
Legal business name
ZOLLMAN PLASTIC SURGERY
Practice address
8227 Northwest Blvd
Suite 290
Indianapolis, IN 46278-1387
Phone
(317) 328-1100
Fax
(317) 334-9228
NPI assigned
Dec 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Mr. Charles Wallace Zollman, MD
Title
Owner
Phone
(317) 328-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X 01023513B IN Primary

Addresses

Primary practice location

8227 Northwest Blvd
Suite 290
Indianapolis, IN 46278-1387

Mailing address

8227 Northwest Blvd
Suite 290
Indianapolis, IN 46278-1387
Phone (317) 328-1100

National Provider Directory

National Provider Directory

Locations

8227 Northwest Blvd
Ste 290
Indianapolis, IN 46278
Phone (317) 328-1100

8227 Northwest Blvd
Indianapolis, IN 46278
Phone (317) 328-1100

Practitioners & affiliated clinicians

Practitioners 1

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": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1699003400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 NORTHWEST BLVD",
            "address_2": "SUITE 290",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781387",
            "telephone_number": "317-328-1100",
            "fax_number": "317-334-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 NORTHWEST BLVD",
            "address_2": "SUITE 290",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781387",
            "telephone_number": "317-328-1100",
            "fax_number": "317-334-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOLLMAN PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "ZOLLMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-328-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "01023513B",
            "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 7, 2009; 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.