Organization Active NPI

Orthopedic and Spine Surgery LLC

Doing business as Midwest Spine Surgeons

  • Orthopaedic Surgery Physician
  • Richmond, IN
National Provider Identifier
1720031917
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Jun 3, 2014

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200455970AMedicaidIN
2524049MedicaidOH

Other names 1

  • Midwest Spine Surgeons Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.