SHADELAND ANESTHESIA (NPI# 1780864926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780864926 |
| Entity Type | Organization |
| Organization Name | SHADELAND ANESTHESIA |
| Other Organization Name | CENTER FOR PAIN MANAGEMENT |
| Practice Address |
8805 N Meridian St Indianapolis IN 46260-2760 |
| Practice Telephone | 3177063415 |
| Practice Fax Number | 3177063419 |
| Mailing Telephone | 3177063415 |
| Mailing Fax Number | 3177063419 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | ANGIE WEISGERBER (MANAGER OF CONTRACTING) |
| Authorized Official Telephone | 3177063415 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center for Pain Management | Doing Business As Name - Organization |
| Street Address |
8805 N MERIDIAN ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590529 | Edward J Kowlowitz | Anesthesiology | 8805 N Meridian St, Indianapolis, IN 46260-2332 | 2005-09-29 |
| 1912301938 | Natalie Joan Prater | Nurse Practitioner | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2014-10-20 |
| 1760724603 | David Michael Gordon | Anesthesiology | 8805 N Meridian St, Indianapolis, IN 46260 | 2013-03-18 |
| 1275874497 | Ted J Westlund | Physician Assistant | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2013-03-13 |
| 1366760910 | Sandra J. Dolny | Physician Assistant | 8805 N Meridian St, Indianapolis, IN 46260 | 2010-05-06 |
| 1417288283 | Josephson Wallack Munshower Neurology, PC | Specialist | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2010-01-19 |
| 1346360716 | Shadeland Anesthesia & Pain Associates Inc | Pain Medicine | 8805 N Meridian St, Indianapolis, IN 46260-2332 | 2007-03-30 |
| 1477673838 | Center for Special Surgery LLC | Clinic/Center | 8805 N Meridian St, Indianapolis, IN 46260-2332 | 2007-03-30 |
| 1447356704 | Jocelyn L. Bush | Anesthesiology | 8805 N Meridian St, Indianapolis, IN 46260-2760 | 2006-09-15 |
| 1700993144 | Kevin Paul Tolliver | Dentist | 8805 N Meridian St, Suite 200, Indianapolis, IN 46260-2332 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689016776 | South Indy Mri and Rehab Services | Clinic/Center | 8141 S Emerson Ave, Suite A, Indianapolis, IN 46237-8560 | 2013-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558856542 | Concept Therapy Professional Corporation | Clinic/Center | 3110 Old Us 20 W, Elkhart, IN 46514-1168 | 2018-06-22 |
| 1518256684 | Therakids Potential | Clinic/Center | 130 N West St, Crown Point, IN 46307-3916 | 2011-03-29 |
| 1760449441 | Therapies In Motion Inc | Clinic/Center | 359 East Morgan, Martinsville, IN 46151-1681 | 2006-04-27 |
| 1386107746 | Southlake Community Mental Health Center | Clinic/Center | 8555 Taft St, Merrillville, IN 46410-6123 | 2019-04-11 |
| 1558847087 | Healing Hands Outpatient Therapy and Rehabilitation Center LLC | Clinic/Center | 216 E 9th St, Anderson, IN 46016 | 2018-07-18 |
| 1235593278 | Turnstone Center for Children and Adults With Disabilities, Inc. | Clinic/Center | 3320 N Clinton St, Fort Wayne, IN 46805-1918 | 2016-04-06 |
| 1972855336 | Comfort Healthcare Therapy LLC | Clinic/Center | 714 W 53rd St, Anderson, IN 46013-1514 | 2012-10-10 |
| 1316271992 | Healing Hands Therapy | Clinic/Center | 2017 W Franklin St, Evansville, IN 47712-5112 | 2009-09-29 |
| 1568689818 | Jackson Center for Conductive Education Inc | Clinic/Center | 802 N Samuel Moore Pkwy, Mooresville, IN 46158-1467 | 2007-04-19 |
| 1720101231 | Westview West Outpatient Therapy Clinic | Clinic/Center | 2137 16th St, Bedford, IN 47421-3003 | 2007-04-09 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on SHADELAND ANESTHESIA.
| 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.