SOUTHEAST SURGERY CENTER LLC (NPI# 1174636237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174636237 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST SURGERY CENTER LLC |
| Other Organization Name | INDIANA ORTHOPAEDIC SURGERY CENTER |
| Practice Address |
5255 E Stop 11 Rd # 110 Indianapolis IN 46237-6340 |
| Practice Telephone | 3178845200 |
| Practice Fax Number | 3178845360 |
| Mailing Telephone | 3178845200 |
| Mailing Fax Number | 3178845360 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-02-11 |
| Authorized Official Name | JANE KELLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3178022000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Indiana Orthopaedic Surgery Center | Doing Business As Name - Organization |
| Street Address |
5255 E STOP 11 RD # 110 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-6340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851033 | Barbara Louise Bowers | Nurse Practitioner | 5255 E Stop 11 Rd, Ste 310, Indianapolis, IN 46237-6340 | 2005-06-20 |
| 1396289757 | Amanda Stocker | Physician Assistant | 5255 E Stop 11 Rd, Suite 450, Indianapolis, IN 46237-6340 | 2016-12-05 |
| 1609326008 | Sylvia Tawfik | Physician Assistant | 5255 E Stop 11 Rd, Suite 450, Indianapolis, IN 46237-6340 | 2016-10-10 |
| 1962858605 | Jaclyn Selders | Physician Assistant | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2016-05-12 |
| 1780056754 | Carolyn England | Physician Assistant | 5255 E Stop 11 Rd, 200, Indianapolis, IN 46237-6340 | 2015-10-29 |
| 1174916811 | Daniel Welty | Specialist/Technologist | 5255 E Stop 11 Rd, Indianapolis, IN 46237-6340 | 2015-03-05 |
| 1720484819 | Bethany A Snider | Physician Assistant | 5255 E Stop 11 Rd, Suite 200, Indianapolis, IN 46237-6340 | 2014-11-17 |
| 1336552496 | Sarah A Polacek | Physician Assistant | 5255 E Stop 11 Rd, Suite 400, Indianapolis, IN 46237-6340 | 2014-06-06 |
| 1255773610 | Cara Vivian Van Weelden | Physician Assistant | 5255 E Stop 11 Rd, Suite 300, Indianapolis, IN 46237-6340 | 2013-07-25 |
| 1912257825 | Lindsey Rush | Physician Assistant | 5255 E Stop 11 Rd, Ste. 200, Indianapolis, IN 46237-6340 | 2012-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689282741 | Uaa Indae LLC | Clinic/Center | 4715 Statesmen Dr Ste A, Indianapolis, IN 46250-1997 | 2020-07-15 |
| 1306351887 | Beltway Surgery Centers, LLC | Clinic/Center | 8830 S Meridian St Ste 250, Indianapolis, IN 46217-5029 | 2017-12-06 |
| 1558876037 | Beltway Surgery Centers, LLC | Clinic/Center | 9660 E Washington St Ste 200, Indianapolis, IN 46229-3032 | 2017-12-06 |
| 1548785116 | Nephrology & Internal Medicine, Inc. | Clinic/Center | 1420 N Senate Ave Ste A, Indianapolis, IN 46202-2211 | 2017-08-04 |
| 1669816799 | Advanced Surgery of Indiana LLC | Clinic/Center | 9470 Bridgewater Cir, Indianapolis, IN 46250-3412 | 2013-04-19 |
| 1275881179 | Eagle Highlands Surgery Center, LLC | Clinic/Center | 8830 S Meridian St, Indianapolis, IN 46217-5029 | 2012-08-27 |
| 1346596566 | Scp Indianapolis LLC | Clinic/Center | 7430 N Shadeland Ave Ste 100, Indianapolis, IN 46250-2036 | 2012-07-25 |
| 1023373834 | Midwest Specialty Surgery Center, LLC | Clinic/Center | 6920 Gatwick Dr., Suite 100, Indianapolis, IN 46241-9506 | 2012-07-08 |
| 1679892913 | Beltway Surgery Centers, L.L.C. | Clinic/Center | 550 University Blvd Ste 4100, Indianapolis, IN 46202-5149 | 2010-05-26 |
| 1326286360 | North Campus Surgery Center LLC | Clinic/Center | 8040 Clearvista Pkwy Ste 150, Indianapolis, IN 46256-4673 | 2009-01-29 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
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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.