NPIMap

Organization Active NPI

Indiana University School of Medicine Department of Surgery

  • General Acute Care Hospital
  • Indianapolis, IN
National Provider Identifier
1760642805
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
11011531A Issued in IN
Legal business name
INDIANA UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF SURGERY
Practice address
545 Barnhill Dr
Emerson Hall Room 202
Indianapolis, IN 46202
Phone
(317) 274-4966
NPI assigned
Jun 12, 2008
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Dana Alexander Booth, MD
Title
Surgery Resident
Phone
(317) 312-0270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 11011531A IN Primary

Addresses

Primary practice location

545 Barnhill Dr
Emerson Hall Room 202
Indianapolis, IN 46202

Mailing address

10180 Arrowhead CT
Indianapolis, IN 46234-3649
Phone (317) 457-0821

National Provider Directory

National Provider Directory
Tax ID family
Atwater Eye Care Center27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

545 Barnhill Dr
Rm 202
Indianapolis, IN 46202
Phone (317) 274-4966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1760642805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10180 ARROWHEAD CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462343649",
            "telephone_number": "317-457-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BARNHILL DR",
            "address_2": "EMERSON HALL ROOM 202",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46202",
            "telephone_number": "317-274-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA UNIVERSITY SCHOOL OF MEDICINE DEPARTMENT OF SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "SURGERY RESIDENT",
        "authorized_official_telephone_number": "317-312-0270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IN",
            "license": "11011531A",
            "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 Jun 12, 2008; 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.