SOUTH CAMPUS SURGERY CENTER (NPI# 1659519684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659519684 |
| Entity Type | Organization |
| Organization Name | SOUTH CAMPUS SURGERY CENTER |
| Practice Address |
1550 E County Line Rd Ste 100 Indianapolis IN 46227-0820 |
| Practice Telephone | 3178877600 |
| Practice Fax Number | 3178877606 |
| Mailing Telephone | 3178877600 |
| Mailing Fax Number | 3178877606 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | MR. MARK WALKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3178877600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
090053961 | IN | Ambulatory Health Care Facilities |
| Street Address |
1550 E COUNTY LINE RD STE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46227-0820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679184477 | Zachry Skinner | Specialist/Technologist | 1683 E Hanna Ave, Indianapolis, IN 46227 | 2020-08-14 |
| 1104481415 | Corinne Mcdonald | Music Therapist | 7502 Madison Avenue, Indianapolis, IN 46227 | 2019-05-02 |
| 1205318649 | Kesha Conner | Counselor | 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 | 2018-09-01 |
| 1609369719 | Victoria Lynn West Arnold | Physician Assistant | 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 | 2018-06-13 |
| 1518466960 | Debra Cottongim | Physical Therapy Assistant | 6329 South East St, Ste A, Indianapolis, IN 46227 | 2018-02-12 |
| 1962943019 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6826 Madison Ave, Indianapolis, IN 46227 | 2017-03-09 |
| 1205386687 | Kylie Rochelle Bontrager | Dentist | 3658 East Street, Indianapolis, IN 46227 | 2016-10-10 |
| 1013371137 | Kayla Ford | Occupational Therapist | 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 | 2016-04-06 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1598146565 | Theodore Christian Seger | Family Medicine | 610 E Southport Rd Ste 205, Indianapolis, IN 46227 | 2015-06-15 |
| Find all providers in zip 46227 | ||||
| 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 | 46227 |
Please comment or provide details below to improve the information on SOUTH CAMPUS SURGERY CENTER.
| 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.