Meridian Plastic Surgery Center, P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

14-005406-1 Issued in IN

Legal business name

MERIDIAN PLASTIC SURGERY CENTER, P.C.

Practice address

170 W 106TH St
Indianapolis, IN 46290-1004

Phone

(317) 575-0110

Fax

(317) 846-5719

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Stephen W Perkins, M.D.NPI 1700834637

Title

President

Phone

(317) 575-0110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Meridian Plastic Surgery Center PCCCN 15C0001025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen W Perkins, MD

  • Specialist
  • Indianapolis, IN
  • NPI 1700834637
  NPD (past) Authorized official

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1831148527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W 106TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901004",
            "telephone_number": "317-575-0110",
            "fax_number": "317-846-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W 106TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901004",
            "telephone_number": "317-575-0110",
            "fax_number": "317-846-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PLASTIC SURGERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-575-0110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "14-005406-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Medical Group PC
• Meridian Medical Health Clinic, LLC
• Meridian Medical Services, Inc
• Meridian MRI, LLC
• Meridian North Pharmacy
• Meridian Portable X-Ray, LLC
• Meridian Primary Care LLC
• Meridian Psychological Associates
• Meridian Psychological Associates,P.C.
• Meridian Radiology Equipment Corporation LLC

• Ambulatory Surgical Clinic/Center in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.