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RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA LLC NPI 1003000399

NPI Profile

NPI: 1003000399
Provider Name: RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC

Former Legal Business Name: RECONSTRUCTIVE HAND SURGEONS OF INDIANA

Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Organization

Specialization: Hand Surgery

Address:
13431 OLD MERIDIAN STREET
SUITE 225
CARMEL, IN
ZIP 46032
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Phone: (317) 249-2616

RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC is a healthcare provider in Carmel, IN.The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC NPI is 1003000399. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Reconstructive Hand Surgeons Of Indiana.

The provider's business location address is:

13431 OLD MERIDIAN STREET
SUITE 225
CARMEL, IN
ZIP 46032
Phone: (317) 249-2616
Fax: (317) 249-2618

The provider's authorized official is Michael E Pannunzio .
The authorized official title is Partner and has the following contact phone number (317) 249-2616.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 5/19/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand SurgeryINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101063681AOTHERINDIANAMEDICAL LICENSE
2H21285MEDICARE UPININDIANA
3H16915MEDICARE UPININDIANA
46019520001MEDICARE NSCINDIANA
5252680MEDICARE UPININDIANA
690579MEDICARE UPININDIANA
7D94498MEDICARE UPININDIANA

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: 9/9/2018

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