Indiana Back Center Pc in Carmel - Orthopaedic Surgery Of The Spine

Indiana Back Center Pc - NPI 1205041340

Indiana Back Center Pc is a Orthopaedic Surgery Of The Spine in Carmel, Indiana. Indiana Back Center Pc practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Indiana Back Center Pc is 1205041340. The last update date is 2011-01-04.

Indiana Back Center Pc's current location address is 13450 N Meridian St, Carmel, Indiana. You can contact this provider via phone number 3178464484 and fax number 3175712344. The mailing address for Indiana Back Center Pc is 13450 N Meridian St, Carmel, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Indiana Back Center Pc
Address 13450 N Meridian St, Carmel, Indiana
Phone Number 3178464484
Fax Number 3175712344
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Shay A John
Credentials MD
Telephone Number 3178464484

NPI Number Detail

NPI Number 1205041340
Provider Enumeration Date 2007-05-11
Last Updated Date 2011-01-04

Provider Mailing Address Detail

Address 13450 N Meridian St
City Carmel
State Indiana (IN)
Post Code 460321546
Phone Number 3178464484
Fax Number 3175712344

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery Of The Spine
Taxonomy 207Xs0117X
Licence No 1039661
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1255375994 IN PHYSICIAN INDIVIDUAL NPI

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FAQs about Indiana Back Center Pc

What is the unique 10-digit identifier code issued to Indiana Back Center Pc by the Centers for Medicare & Medicaid Services?

The Indiana Back Center Pc has been assigned the NPI (National Provider Identifier) 1205041340 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Indiana Back Center Pc is physically located?

The Indiana Back Center Pc is situated at the following address: 13450 N Meridian St, Carmel, IN 460321546.

What is the Indiana Back Center Pc's area of specialization and corresponding taxonomy classification?

The Indiana Back Center Pc's specialty field is Orthopaedic Surgery Of The Spine, and it falls under the taxonomy code 207Xs0117X, which categorizes healthcare providers based on their specialties.

When was the Indiana Back Center Pc's 1205041340 issued?

The Indiana Back Center Pc's 1205041340 was issued on 2007-05-11.

As of what date were the Indiana Back Center Pc's details last updated?

The information pertaining to the Indiana Back Center Pc, including its address, specialty, and other details, was most recently updated on 2011-01-04.

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