ADVANCED SURGERY OF INDIANA LLC (NPI# 1669816799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669816799 |
| Entity Type | Organization |
| Organization Name | ADVANCED SURGERY OF INDIANA LLC |
| Practice Address |
9470 Bridgewater Cir Indianapolis IN 46250-3412 |
| Mailing Address |
Po Box 56051 Indianapolis IN 46256-0051 |
| Practice Telephone | 3175980094 |
| Mailing Telephone | 3175980094 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |
| Authorized Official Name | DR. SCOTT EDWARD MIMMS (SURGEON) |
| Authorized Official Telephone | 3176791757 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
01068514A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200986830 | 05 |
| Street Address |
9470 BRIDGEWATER CIR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| 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 |
| 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 |
| 1659519684 | South Campus Surgery Center | Clinic/Center | 1550 E County Line Rd Ste 100, Indianapolis, IN 46227-0820 | 2009-01-29 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on ADVANCED SURGERY OF INDIANA 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.