CENTRAL INDIANA ORTHOPEDICS, PC (NPI# 1316324502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316324502 |
Entity Type | Organization |
Organization Name | CENTRAL INDIANA ORTHOPEDICS, PC |
Practice Address |
1050 Reid Pkwy Suite 100 Richmond IN 47374-1155 |
Mailing Address |
Po Box 1643 Muncie IN 47308-1643 |
Practice Telephone | 7659833373 |
Practice Fax Number | 7659833413 |
Mailing Telephone | 7652847738 |
Mailing Fax Number | 7652133713 |
Enumeration Date | 2015-04-27 |
Last Update Date | 2015-04-27 |
Authorized Official Name | MR. VICTOR P MORAN (EXECUTIVE DIRECTOR/CFO) |
Authorized Official Telephone | 7652847738 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM | 000000102884 | 01 | |
IN | 100106820 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962061135 | Central Indiana Orthopedics, PC | Family Medicine | 14300 E 138th Bldg B, Fishers, IN 46037-0087 | 2019-06-11 |
1205294907 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 6920 Gatwick Dr, Suite 200, Indianapolis, IN 46241-9504 | 2016-02-09 |
1386049328 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 1389 N Baldwin Ave, Marion, IN 46952-1913 | 2014-11-04 |
1912302001 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 500 W Votaw St, Portland, IN 47371-1322 | 2014-10-31 |
1629131123 | Central Indiana Orthopedics, PC | Specialist/Technologist | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2006-12-18 |
1063422137 | Central Indiana Orthopedics, PC | Orthopaedic Surgery | 3600 W Bethel Ave, Muncie, IN 47304-5407 | 2006-08-09 |
Street Address |
1050 REID PKWY SUITE 100 |
City | RICHMOND |
State | IN |
Zip Code | 47374-1155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912902289 | Thomas M Grayson | Surgery | 1050 Reid Pkwy, Suite 120, Richmond, IN 47374-1155 | 2005-06-14 |
1124474358 | Brandy Hogg-duncan | Nurse Practitioner | 1050 Reid Pkwy, Suite # 240, Richmond, IN 47374-1155 | 2016-05-06 |
1467815571 | Jennifer Grigsby | Nurse Practitioner | 1050 Reid Pkwy, Suite 100, Richmond, IN 47374-1155 | 2016-04-05 |
1558604207 | Jennifer M Stachler | Dietitian, Registered | 1050 Reid Pkwy, Suite 305, Richmond, IN 47374-1155 | 2013-04-01 |
1235474081 | Reid Physician Associates Inc | Orthopaedic Surgery | 1050 Reid Pkwy, Suite 325, Richmond, IN 47374-1155 | 2012-12-05 |
1154687911 | Brian Ray Goggins | Psychiatry & Neurology | 1050 Reid Pkwy, Suite 210, Richmond, IN 47374-1155 | 2012-04-05 |
1245538420 | Marla Mcdonough Evans | Nurse Practitioner | 1050 Reid Pkwy, Suite 220, Richmond, IN 47374-1160 | 2011-03-11 |
1164751335 | Allanna R. Abel | Dietitian, Registered | 1050 Reid Pkwy, Suite 300, Richmond, IN 47374-1155 | 2009-12-16 |
1770730103 | Reid Physician Associates, Inc | Internal Medicine | 1050 Reid Pkwy, Suite 110, Richmond, IN 47374-1155 | 2008-08-27 |
1811144793 | Reid Physician Associates, Inc | Family Medicine | 1050 Reid Pkwy, Suite 210, Richmond, IN 47374-1155 | 2008-08-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
Find all providers in zip 47374 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
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 |
---|---|---|---|---|
1407898570 | Gregory S. Hellwarth | Orthopaedic Surgery | 1400 Highland Rd Ste 1, Richmond, IN 47374-8810 | 2006-06-12 |
1114992237 | Ravishankar Vedantam | Orthopaedic Surgery | 1050 Reid Parkway, Suite 100, Central Indiana Orthopedics, PC, Richmond, IN 47374-1156 | 2006-02-22 |
1770045239 | Sva Care of Va, LLC | Orthopaedic Surgery | 100 Shockoe Slip Fl 2, Richmond, VA 23219-4100 | 2019-04-03 |
1558313320 | John Michael Simpson | Orthopaedic Surgery | 1501 Maple Ave, Nw Mob Suite 200, Richmond, VA 23226-2553 | 2006-05-17 |
1972509230 | Mohammad Etminan | Orthopaedic Surgery | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2005-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548768815 | Spine Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1265, Indianapolis, IN 46204-3250 | 2018-01-31 |
1174021950 | Joint Replacement Cin of Indianapolis LLC | Orthopaedic Surgery | 120 E Market St Ste 1272, Indianapolis, IN 46204-3250 | 2018-01-26 |
1508220633 | Indiana Spine Group, PC | Orthopaedic Surgery | 747 E. County Line Rd., Suite L, Greenwood, IN 46143-1082 | 2016-04-05 |
1144667635 | Indiana Spine Group, PC | Orthopaedic Surgery | 1115 N. Ronald Reagan Pkwy., Suite 148, Avon, IN 46123-6913 | 2013-05-24 |
1457534497 | Orthopaedic Spine Center PC | Orthopaedic Surgery | 5255 E.stop 11 Road, Suite 250, Indianapolis, IN 46237-6343 | 2007-12-13 |
1689872152 | Spine & Musculoskeletal Center PC | Orthopaedic Surgery | 2020 E Columbus Drive, Suite B, East Chicago, IN 46312-3078 | 2007-07-06 |
1366654410 | Michael J. Hartman, Md, PC | Orthopaedic Surgery | 801 Mac Arthur Blvd, Suite 304, Munster, IN 46321 | 2007-05-03 |
1356485825 | Southern Indiana Orthopedics, Inc | Orthopaedic Surgery | 633 East Tipton, Seymour, IN 47274-2192 | 2007-02-17 |
1851494371 | Northwest Indiana Spinal Surgery, P.C. | Orthopaedic Surgery | 9235 Broadway, Merrillville, IN 46410-7046 | 2006-09-07 |
1215906029 | John M Gorup | Orthopaedic Surgery | 1345 Unity Place, Suite 310, Lafayette, IN 47905-5769 | 2006-03-15 |
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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.