Active NPI
Orthopedic and Spine Surgery LLC
Doing business as Midwest Spine Surgeons
- Orthopaedic Surgery Physician
- Richmond, IN
National Provider Identifier
1720031917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC AND SPINE SURGERY LLC
- Doing business as
- Midwest Spine Surgeons
- Practice address
- 1050 Reid Pkwy
Ste 100
Richmond, IN 47374-1156 - Phone
- (765) 983-3373
- Fax
- (765) 983-3413
- NPI assigned
- May 18, 2006
- 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
- Ravishankar Vedantam, M.D.
- Title
- Co-Owner
- Phone
- (765) 983-3373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1050 Reid Pkwy
Ste 100
Richmond, IN 47374-1156
Mailing address
1050 Reid Pkwy
Ste 100
Richmond, IN 47374-1156
Phone (765) 983-3373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200455970A | Medicaid | IN | |
| 2524049 | Medicaid | OH |
Other names 1
- Midwest Spine Surgeons
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401753600000",
"number": "1720031917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 REID PKWY",
"address_2": "STE 100",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741156",
"telephone_number": "765-983-3373",
"fax_number": "765-983-3413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 REID PKWY",
"address_2": "STE 100",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741156",
"telephone_number": "765-983-3373",
"fax_number": "765-983-3413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC AND SPINE SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2014-06-03",
"status": "A",
"authorized_official_last_name": "VEDANTAM",
"authorized_official_first_name": "RAVISHANKAR",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "765-983-3373",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200455970A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2524049",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Spine Surgeons",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.