EAGLE HIGHLANDS SURGERY CENTER LLC (NPI# 1245287697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245287697 |
| Entity Type | Organization |
| Organization Name | EAGLE HIGHLANDS SURGERY CENTER LLC |
| Other Organization Name | EAGLE HIGHLANDS SURGERY CENTER |
| Practice Address |
6850 Parkdale Pl Indianapolis IN 46254-4670 |
| Practice Telephone | 3173297209 |
| Practice Fax Number | 3173297293 |
| Mailing Telephone | 3173297209 |
| Mailing Fax Number | 3173297293 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | ROBERT BOEGLIN (VICE PRESIDENT, EHSC) |
| Authorized Official Telephone | 3175625660 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | ZJ7070 | 01 | |
| IN | 200848180A | 05 |
| Other Name | Type Code |
|---|---|
| Eagle Highlands Surgery Center | Doing Business As Name - Organization |
| Street Address |
6850 PARKDALE PL |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-4670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159853 | Beltway Surgery Centers, LLC | Clinic/Center | 6850 Parkdale Pl, Indianapolis, IN 46254-4670 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| 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 | 46254 |
Please comment or provide details below to improve the information on EAGLE HIGHLANDS SURGERY CENTER LLC.
| 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.