INDIANA SPINE HOSPITAL, LLC (NPI# 1316324403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316324403 |
| Entity Type | Organization |
| Organization Name | INDIANA SPINE HOSPITAL, LLC |
| Other Organization Name | INDIANA SPINE HOSPITAL |
| Practice Address |
13219 N. Meridian St Carmel IN 46032-5480 |
| Mailing Address |
13225 N Meridian St Carmel IN 46032-5480 |
| Practice Telephone | 3177952000 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | RICK C SASSO (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3177155865 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Indiana Spine Hospital | Doing Business As Name - Organization |
| Street Address |
13219 N. MERIDIAN ST |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-5480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681748 | St. Vincent Heart Center of Indiana, LLC | Special Hospital | 10580 N Meridian St, Carmel, IN 46290-1028 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437407848 | Michael T Sahm | Special Hospital | 3300 Prague Rd, Indianapolis, IN 46227-7010 | 2012-08-16 |
| 1538441340 | Walgreen | Special Hospital | 1835 Pemberton Ln, Indianapolis, IN 46260-1577 | 2011-09-16 |
| 1720374374 | O'hana Heritage Foundation Inc | Special Hospital | 53131 Quince Rd, South Bend, IN 46628-9691 | 2011-06-22 |
| 1538460191 | Indiana University Medical Center | Special Hospital | 927 Paca St, Indianapolis, IN 46202-2914 | 2010-11-12 |
| 1568629178 | Indiana University School of Medicine | Special Hospital | 4024 Eldor Flower Dr, Zionsville, IN 46077-8585 | 2008-05-21 |
| 1285822023 | Yu-fan Kelly | Special Hospital | 1481 W 10th St # 116p, Indianapolis, IN 46202-2803 | 2007-10-05 |
| 1235150418 | Renaissance Specialty Hospital of Central Indiana Operations Co LLC | Special Hospital | 2401 University Ave 8th Floor North Tower, Muncie, IN 47303-3428 | 2006-07-22 |
| 1356698187 | St. Vincents Sports Performance | Special Hospital | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2012-08-10 |
| 1568740223 | St Vincent Medical Group, Inc | Special Hospital | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-07-29 |
| 1124292446 | The Heart Hospital At Deaconess Gateway, LLC | Special Hospital | 4007 Gateway Blvd, Newburgh, IN 47630-8947 | 2008-04-17 |
| Find all providers with the same taxonomy | ||||
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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.