THOMAS A BRADY SPORTS MEDICINE CTR (NPI# 1639445315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639445315 |
| Entity Type | Organization |
| Organization Name | THOMAS A BRADY SPORTS MEDICINE CTR |
| Other Organization Name | METHODIST SPORTS MEDICINE CENTER |
| Practice Address |
1115 Ronald Reagan Pkwy Avon IN 46123-6910 |
| Mailing Address |
201 Pennsylvania Pkwy Ste 100 Indianapolis IN 46280-1393 |
| Practice Telephone | 3178171200 |
| Practice Fax Number | 3178171220 |
| Mailing Telephone | 3178171200 |
| Mailing Fax Number | 3178171220 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | MARK RITTER (PRESIDENT) |
| Authorized Official Telephone | 3178171200 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100227670D | 05 |
| Other Name | Type Code |
|---|---|
| Methodist Sports Medicine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407480239 | Thomas A Brady Sports Medicine Ctr | Chiropractor | 16289 Boden Rd Ste 2, Noblesville, IN 46060-9748 | 2020-03-02 |
| 1881134468 | Thomas A Brady Sports Medicine Ctr | Physical Therapist | 19000 Grand Park Blvd, Ste K, Westfield, IN 46074-6802 | 2017-03-02 |
| 1407251382 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 1010 S Main St, Ste 100, Tipton, IN 46072-9753 | 2014-11-04 |
| 1588215420 | Thomas A Brady Sports Medicine Ctr | Occupational Therapist | 3001 S Creasy Ln Ste 100a, Lafayette, IN 47905-5206 | 2019-09-23 |
| 1518445071 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 | 2018-08-06 |
| 1912404435 | Thomas A Brady Sports Medicine Ctr | Orthopaedic Surgery | 639 S Walker St Ste E, Bloomington, IN 47403-2124 | 2018-04-11 |
| 1255844098 | Thomas A Brady Sports Medicine Ctr | Physical Therapist | 651 E 191st St, Westfield, IN 46074-9243 | 2017-11-15 |
| 1245506922 | Thomas A Brady Sports Medicine Ctr | Internal Medicine | 1401 W County Line Rd, Greenwood, IN 46142-5195 | 2012-03-28 |
| 1467484212 | Thomas A Brady Sports Medicine Ctr | Chiropractor | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2006-07-06 |
| Street Address |
1115 RONALD REAGAN PKWY |
| City | AVON |
| State | IN |
| Zip Code | 46123-6910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679573620 | James C Sloan | Urology | 1115 Ronald Reagan Pkwy, Ste 364, Avon, IN 46123-6910 | 2005-07-29 |
| 1487111274 | Ann Shackelford Reeves | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2019-02-27 |
| 1215412432 | Heather Renee Seaborne | Registered Nurse | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2018-10-03 |
| 1770959744 | Chelsea Durnil | Pharmacist | 1115 Ronald Reagan Pkwy, Ste 318, Avon, IN 46123-6910 | 2015-08-13 |
| 1578961314 | Urology of Indiana L.l. C. | Durable Medical Equipment & Medical Supplies | 1115 Ronald Reagan Pkwy, Suite 247, Avon, IN 46123-6910 | 2014-12-10 |
| 1912290925 | Kyle Andrew Frick | Internal Medicine | 1115 Ronald Reagan Pkwy, Avon, IN 46123-6910 | 2011-05-24 |
| 1831405422 | Amanda N Crishon | Audiologist | 1115 Ronald Reagan Pkwy, Ste 225, Avon, IN 46123-6910 | 2010-08-20 |
| 1831410703 | Robert Neal Ingram | Registered Nurse | 1115 Ronald Reagan Pkwy, Pkwy 171, Avon, IN 46123-6910 | 2010-06-15 |
| 1316276363 | Indianapolis Neurosurgical Group | Nurse Practitioner | 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 | 2009-12-21 |
| 1750614400 | Lauren D Fahey | Physician Assistant | 1115 Ronald Reagan Pkwy, Suite 348, Avon, IN 46123-6910 | 2009-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356438709 | Hendricks County Hospital | Orthopaedic Surgery | 301 Satoril Pkwy, Suite 120, Avon, IN 46123-6406 | 2006-10-06 |
| 1801848783 | Brian L Badman | Orthopaedic Surgery | 8607 East Us 36, Avon, IN 46123-9199 | 2006-05-17 |
| 1588621221 | Roy D Beebe | Orthopaedic Surgery | 2 Simsbury Rd, Avon, CT 06001 | 2006-04-27 |
| 1508210550 | Badmill Partners LLC | Orthopaedic Surgery | 8607 E Us Highway 36, Avon, IN 46123-7960 | 2016-04-15 |
| 1487964599 | Hartford Orthopedic Surgeons, PC | Orthopaedic Surgery | 31 Ensign Dr, Avon, CT 06001-3773 | 2010-10-08 |
| 1215105523 | Old Avon Orthopedics, PC | Orthopaedic Surgery | 2 Simsbury Rd, Avon, CT 06001-3711 | 2008-02-20 |
| 1487719043 | Steven J Svabek Do PC | Orthopaedic Surgery | 5250 E Us Highway 36, Suite 610, Avon, IN 46123-9199 | 2006-12-26 |
| 1588616999 | Mark D Webster | Orthopaedic Surgery | 1115 Ronald Reagan Pkwy, Suite 148, Avon, IN 46123-6910 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038618 | Union Associated Physicians Clinic, LLC | Orthopaedic Surgery | 801 S Main St Ste 200, Clinton, IN 47842-2261 | 2020-09-21 |
| 1699317529 | Lakeshore Bone & Joint Institute, PC | Orthopaedic Surgery | 759 45th St Ste 201, Munster, IN 46321-2938 | 2019-10-11 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1679022925 | Stephen Stein | Orthopaedic Surgery | 13198 N County Road 400 E, Batesville, IN 47006-8881 | 2016-09-28 |
| 1013371277 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 17471 Wheeler Road, Suite 112, Westfield, IN 46074-6901 | 2016-04-13 |
| 1194184671 | Greenwood Orthopedics PC | Orthopaedic Surgery | 965 Emerson Parkway, Suite K, Greenwood, IN 46143-6274 | 2016-02-12 |
| 1467826032 | Franciscan Physician Network | Orthopaedic Surgery | 759 45th Street, Suite 201, Munster, IN 46321 | 2015-11-19 |
| 1285019851 | Community Physicians of Indiana Inc | Orthopaedic Surgery | 2312 S Dixon Road, Suite 200, Kokomo, IN 46902-6423 | 2015-07-24 |
| 1730561291 | Cody Shafer | Orthopaedic Surgery | 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 | 2015-06-22 |
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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.