SOUTHERN INDIANA ENDOSCOPY, LLC (NPI# 1831110170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831110170 |
| Entity Type | Organization |
| Organization Name | SOUTHERN INDIANA ENDOSCOPY, LLC |
| Practice Address |
2630 Grant Line Rd New Albany IN 47150-4053 |
| Mailing Address |
825 University Woods Dr Suite 2 New Albany IN 47150-2427 |
| Practice Telephone | 8129450145 |
| Practice Fax Number | 8122067089 |
| Mailing Telephone | 8129450145 |
| Mailing Fax Number | 8129495443 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2009-07-24 |
| Authorized Official Name | STUART H COLEMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8129450145 |
| 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 |
060028691 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200358660A | 05 |
| Street Address |
2630 GRANT LINE RD |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150-4053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955667 | David Michael Dresner | Internal Medicine | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2005-07-12 |
| 1073143301 | Allison C Eberle | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2020-01-26 |
| 1063056539 | Rachel Elizabeth Gould | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2019-10-29 |
| 1871950220 | Alyssa D Wells | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2016-01-15 |
| 1164802682 | Jessica Lea Lewis | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2015-06-01 |
| 1982037073 | Lauren M Eurton | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2013-08-13 |
| 1700149101 | Nicole M Moore | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2012-06-20 |
| 1982963872 | Gastroenterology Health Partners, Pllc | Internal Medicine | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2012-05-11 |
| 1396023453 | Donna Ann Moss | Nurse Practitioner | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2011-07-23 |
| 1063703007 | Jonathan Obert | Internal Medicine | 2630 Grant Line Rd, New Albany, IN 47150-4053 | 2011-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689674285 | Central Ohio Surgical Institute, LLC | Clinic/Center | 6520 W Campus Oval, New Albany, OH 43054-8726 | 2005-07-26 |
| 1053319053 | Eye Surgery Center of New Albany, LLC | Clinic/Center | 520 W 1st St, New Albany, IN 47150-3603 | 2005-07-13 |
| 1497750426 | New Albany Outpatient Surgery, LLC | Clinic/Center | 2201 Green Valley Rd, New Albany, IN 47150-4647 | 2005-06-16 |
| 1033468400 | White Fence Surgical Suites, LLC | Clinic/Center | 7277 Smiths Mill Rd, Suite 300, New Albany, OH 43054-8195 | 2012-08-31 |
| 1003103474 | New Albany Surgery Center, LLC | Clinic/Center | 5040 Forest Dr, New Albany, OH 43054-8181 | 2011-07-06 |
| 1841284742 | Kleinert Kutz Surgery Center, LLC | Clinic/Center | 3605 Northgate Ct, Ste 101, New Albany, IN 47150-6400 | 2005-09-07 |
| 1689672461 | Novamed Pain Management Center of New Albany, LLC | Clinic/Center | 520 W 1st St, New Albany, IN 47150-3603 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960536 | Lake George Surgery Center, LLC | Clinic/Center | 6245 N Old 27 Ste A10, Fremont, IN 46737-8707 | 2020-07-24 |
| 1689282741 | Uaa Indae LLC | Clinic/Center | 4715 Statesmen Dr Ste A, Indianapolis, IN 46250-1997 | 2020-07-15 |
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1174165237 | River Ridge Surgical Suites, LLC | Clinic/Center | 2031 Jeffersonville Commons Dr, Jeffersonville, IN 47130-8996 | 2019-10-10 |
| 1134779622 | Helix Surgicenter LLC | Clinic/Center | 324 W Us Highway 30, Schererville, IN 46375-1856 | 2019-09-17 |
| 1295381572 | South Suburban Surgical Suites, LLC | Clinic/Center | 9200 Calumet Ave Ste E-100, Munster, IN 46321-2885 | 2019-08-13 |
| 1861059818 | Fishers Specialty Surgery Center, LLC | Clinic/Center | 14300 E 138th St, Fishers, IN 46037 | 2019-05-24 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1609376409 | Kokomo Ambulatory Surgery Center | Clinic/Center | 107 S Washington St Ste A, Kokomo, IN 46901-4601 | 2018-02-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on SOUTHERN INDIANA ENDOSCOPY, 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.