PHILLIP BOSTIAN (NPI# 1043625361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043625361 |
| Entity Type | Individual |
| Full Name | PHILLIP BOSTIAN |
| Credential | M.D. |
| Practice Address |
1801 N Senate Blvd Ste 535 Indianapolis IN 46202-1204 |
| Practice Telephone | 7049650164 |
| Mailing Telephone | 7049650164 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
CV2002622 | IN | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
01084243B | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Center Drive, Morgantown, WV 265069196 | 3042931168 | 3042930231 |
| Street Address |
1801 N SENATE BLVD STE 535 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437350634 | David M Doman | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2007-05-29 |
| 1821624461 | Michelle Nicole Hokl | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2020-03-16 |
| 1528578176 | Chelsey Amber Hayden | Registered Nurse | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2017-10-10 |
| 1578086997 | Theresa Michelle Smith | Nurse Practitioner | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2017-07-18 |
| 1093100844 | Christian Joseph Eccles | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2015-03-30 |
| 1407241375 | Jason Y Chen | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2015-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871550053 | John Hur | Orthopaedic Surgery | 201 Pennsylvania Parkway, Suite 100, Indianapolis, IN 46280-1393 | 2006-04-29 |
| 1356547095 | Sakkapol Ongwijitwat | Orthopaedic Surgery | 7930 N Shadeland Ave, Indianapolis, IN 46250-2041 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407251382 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 1010 S Main St, Ste 100, Tipton, IN 46072-9753 | 2014-11-04 |
| 1639340672 | Stephen F. Mitros, M.d., P.C. | Orthopaedic Surgery | 720 Cedar St Ste 160, South Bend, IN 46617-2093 | 2008-03-18 |
| 1215440334 | Matthieu Zingg | Orthopaedic Surgery | 13000 E 136th St, Fishers, IN 46037-9478 | 2017-11-10 |
| 1518143163 | St. Francis Hospital and Health Centers | Orthopaedic Surgery | 701 E County Line Rd, Suite 204, Greenwood, IN 46143-1072 | 2008-01-14 |
| 1982770160 | Charles Leo Tremaine | Orthopaedic Surgery | 1950 45th Ave, Suite 200, Munster, IN 46321-3927 | 2006-11-28 |
| 1336101062 | Timothy J Williams | Orthopaedic Surgery | 1199 Hadley Rd, Mooresville, IN 46158-1788 | 2006-04-06 |
| 1083675656 | Joint Replacement Surgeons of Indiana | Orthopaedic Surgery | 1199 Hadley Rd, Mooresville, IN 46158-1788 | 2006-03-31 |
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.