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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
01061643A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200829510 | 05 | |
IN | RR MEDICARE | P01456968 | 01 |
Street Address |
1550 E COUNTY LINE RD SUITE 320 |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46227-1000 |
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 |
Find all providers in the same location |
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 | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
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. |
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 |
City | INDIANAPOLIS |
Zip Code | 46227 |
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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.