Southern Indiana Surgery Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

SOUTHERN INDIANA SURGERY INC

Practice address

2109 Doctors Park Dr
Columbus, IN 47203-2224

Phone

(812) 372-2245

NPI assigned

Aug 19, 2006

Last updated

May 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Dorenbusch, MDNPI 1265546725

Title

MD

Phone

(812) 372-2245

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70317
• Direct secure messaging: jason.christie@sisurgery.directbygreenway.com

Practitioners 13

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.

• Jason Wayne Christie, M.D.

  • Vascular Surgery Physician
  • Columbus, IN
  • NPI 1568631844
  Medicare reassignment Care Compare group NPD
• Michael J Dorenbusch, MD

  • Surgery Physician
  • Columbus, IN
  • NPI 1265546725

  Specialist

  Medicare reassignment NPD Authorized official
• Jamie Danielle Doughty, NP

  • Nurse Practitioner
  • Columbus, IN
  • NPI 1144952342
  Medicare reassignment Care Compare group NPD
• Douglas Y Roese, MD

  • Specialist
  • Columbus, IN
  • NPI 1699889162
  Medicare reassignment Care Compare group NPD
• Cory Banaschak

  • Surgery Physician
  • Columbus, IN
  • NPI 1306377874
  Medicare reassignment NPD
• Suzannah McKenzie Brown, NP

  • Family Nurse Practitioner
  • Columbus, IN
  • NPI 1215696208
  Medicare reassignment NPD
• Michael J Buckmaster, M.D.

  • Vascular Surgery Physician
  • Richmond, IN
  • NPI 1801891189
  Medicare reassignment NPD
• Justin James Burdick, M.D.

  • Surgery Physician
  • Columbus, IN
  • NPI 1467621136
  Medicare reassignment NPD
• Samantha Grider

  • Family Nurse Practitioner
  • Columbus, IN
  • NPI 1013303569
  Medicare reassignment NPD
• David J Lee, MD

  • Surgery Physician
  • Columbus, IN
  • NPI 1376657841

  Specialist

  Medicare reassignment NPD
• Justin Lee, MD

  • Surgery Physician
  • Columbus, IN
  • NPI 1811359177
  Medicare reassignment NPD
• David M Thompson, MD

  • Surgery Physician
  • Columbus, IN
  • NPI 1689788150

  Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1942314554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 DOCTORS PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032224",
            "telephone_number": "812-372-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 DOCTORS PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472032224",
            "telephone_number": "812-372-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INDIANA SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "DORENBUSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "812-372-2245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jason.christie@sisurgery.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2109 Doctors Park Dr",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472032224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southern Indiana ENT, LLC
• Southern Indiana Integrative Therapy Services
• Southern Indiana Nephrology and Hypertension Inc
• Southern Indiana Orthopedics
• Southern Indiana Orthopedics Inc
• Southern Indiana Urologic Clinic,LLC
• Emily Helen Spagnuolo, LCSW
• Nicholas Sparks, DNP
• Chelsea Ann Spartz, NP-C
• Jennifer Shae Speer

• Vascular Surgery Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Vascular Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.