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ORTHOPEDICS OF SOUTH CENTRAL INDIANA LLC NPI 1588600472


NPI Information

NPI: 1588600472
Provider Name: ORTHOPEDICS OF SOUTH CENTRAL INDIANA LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
583 S CLARIZZ BLVD
BLOOMINGTON, IN
ZIP 47401
Phone: (812) 333-2663
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ORTHOPEDICS OF SOUTH CENTRAL INDIANA LLC is a specialist in Bloomington, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ORTHOPEDICS OF SOUTH CENTRAL INDIANA LLC NPI is 1588600472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

583 S CLARIZZ BLVD
BLOOMINGTON, IN
ZIP 47401-515
Phone: (812) 333-2663
Fax: (812) 333-8140

The provider's authorized official is Michael Craig .
The authorized official title is Cfo and has the following contact phone number (812) 353-9554.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 2/15/2018.


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
1174400000XSpecialistYes
2207QS0010XFamily MedicineSports MedicineNo
3207X00000XOrthopaedic SurgeryNo
4208100000XPhysical Medicine & RehabilitationNo
5225100000XPhysical TherapistNo
62255A2300XSpecialist/TechnologistAthletic TrainerNo
7225X00000XOccupational TherapistNo
8363A00000XPhysician AssistantNo
9363L00000XNurse PractitionerNo

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
1200410200AMEDICAIDINDIANA
2000000256995OTHERINDIANABLUE CROSS BLUE SHIELD
3CK6083OTHERINDIANARAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.