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INDIANA BACK CENTER PC NPI 1205041340


NPI Information

NPI: 1205041340
Provider Name: INDIANA BACK CENTER PC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
13450 N MERIDIAN ST
STE 244
CARMEL, IN
ZIP 46032
Phone: (317) 846-4484
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INDIANA BACK CENTER PC is an orthopaedic surgery of the spine orthopaedic surgery in Carmel, IN. The provider is 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 disorders including trauma, degenerative, deformity, tumor, and reconstructive. INDIANA BACK CENTER PC NPI is 1205041340. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13450 N MERIDIAN ST
STE 244
CARMEL, IN
ZIP 46032-546
Phone: (317) 846-4484
Fax: (317) 571-2344

The provider's authorized official is John A Shay .
The authorized official title is Owner and has the following contact phone number (317) 846-4484.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 1/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine01039661INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11255375994OTHERINDIANAPHYSICIAN INDIVIDUAL NPI
2314010MEDICARE ID-TYPE UNSPECIFIEDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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