JASON R CACIOPPO


Address: 1550 E County Line Rd, Suite 320, Indianapolis, IN 46227-1000
Phone: 3174976155

JASON R CACIOPPO (NPI# 1720043193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720043193
Entity Type Individual
Full Name JASON R CACIOPPO
Credential M.D.
Practice Address 1550 E County Line Rd
Suite 320
Indianapolis
IN 46227-1000
Mailing Address 6626 E 75th St
Suite 500
Indianapolis
IN 46250-2805
Practice Telephone 3174976155
Enumeration Date 2006-04-19
Last Update Date 2020-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
01061643A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200829510 05
IN RR MEDICARE P01456968 01

Office Location

Street Address 1550 E COUNTY LINE RD
SUITE 320
City INDIANAPOLIS
State IN
Zip Code 46227-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639174121 Kurt R Martin Orthopaedic Surgery 1550 E County Line Rd, Ste 200, Indianapolis, IN 46227-0990 2005-06-20
1003217274 Kathleen L Lampert Nurse Practitioner 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227-1000 2014-09-08
1376975854 Carrie Graves Nurse Practitioner 1550 E County Line Rd, Ste 200, Indianapolis, IN 46227-1000 2013-08-06
1750632949 Shannon Lea Bedja Nurse Practitioner 1550 E County Line Rd, Suite 325, Indianapolis, IN 46227-0967 2012-09-27
1508121492 Sathish Kumar Krishnan Internal Medicine 1550 E County Line Rd, Indianapolis, IN 46227-1000 2012-07-07
1629239918 Evan R. Armington Orthopaedic Surgery 1550 E County Line Rd, Suite 200, Indianapolis, IN 46227 2008-06-19
1336357938 Helen Caldwell Counselor 1550 E County Line Rd, Ste 325, Indianapolis, IN 46227-1000 2007-05-18
1033141155 Annette Rene Moore Nurse Practitioner 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227-1000 2006-07-07
1083688600 Greenwood Orthopedics PC Orthopaedic Surgery 1550 E County Line Rd, Suite 200, Indianapolis, IN 46227 2006-02-13
1144227471 James Kenneth Cole Orthopaedic Surgery 1550 E County Line Rd, Suite 200, Indianapolis, IN 46227-1000 2005-07-01
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Providers in the same zip code

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 Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982050340 Eric Pittelkow Surgery 545 Barnhill Drive Emerson Hall, Suite 232, Indianapolis, IN 46202 2016-05-04
1164654257 Erin Weber Surgery 1801 N Senate Blvd Ste 525, Indianapolis, IN 46202-1253 2009-08-21
1669677142 Jaime Marie Ranieri Surgery 8051 S Emerson Ave Ste 450, Indianapolis, IN 46237-8667 2007-06-15
1770708158 Kimberly K Short Surgery 8455 Clearvista Place, Indianapolis, IN 46256-2419 2007-04-13
1558344697 William A Wooden Surgery 260 Emerson Hall, 545 Barnhill Dr, Indianapolis, IN 46202-5200 2005-11-22
1881690790 Jeffrey David Wagner Surgery 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 2005-06-24
1699003400 Zollman Plastic Surgery Surgery 8227 Northwest Blvd, Suite 290, Indianapolis, IN 46278-1387 2009-12-07
1285880997 Hemant Sabharwal Surgery 8051 S Emerson Ave, Suite 480, Indianapolis, IN 46237-8600 2008-08-13
1265697973 Sidhbh Gallagher Surgery 545 Barnhill Dr, Suite 232, Indianapolis, IN 46202-5112 2008-07-22
1982819017 Indianapolis Institute for Plastic Surgery Surgery 8051 S Emerson Ave, Ste 450, Indianapolis, IN 46237-8600 2007-05-11
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46227

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Dataset Information

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.

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