Shelbyville Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SHELBYVILLE SURGICAL ASSOCIATES

Practice address

30 West Rampart Street
Suite 230
Shelbyville, IN 46176

Phone

(317) 421-3270

Fax

(317) 421-2016

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Lennon

Title

Ceo

Phone

(317) 392-3211

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Major Hospital

  • Skilled Nursing Facility
  • Greensburg, IN
  • NPI 1215207584

  Member Of

  NPD member

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801995451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WEST RAMPART STREET",
            "address_2": "SUITE 230",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "46176",
            "telephone_number": "317-421-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WEST RAMPART STREET",
            "address_2": "SUITE 230",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "46176",
            "telephone_number": "317-421-3270",
            "fax_number": "317-421-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LENNON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-392-3211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200506510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Management Corp
• Shelby Medical Center, Inc.
• Shelby Pain and Spine
• Shelbyville Central Schools
• Shelbyville Family Dental
• Robert G Shellman, M.D.
• Ashley Shirrell
• Alison Simo, MSN, RN
• Angela Patrice Sims
• Amber Sitterding

• Surgery Physician in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.