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INDIANAPOLIS NEUROSURGICAL GROUP NPI 1447312616


NPI Information

NPI: 1447312616
Provider Name: INDIANAPOLIS NEUROSURGICAL GROUP

Doing Business As: GOODMAN CAMPBELL BRAIN AND SPINE

Classification: Radiologic Technologist - 2471M1202X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging

Address:
7855 S EMERSON AVE
INDIANAPOLIS, IN
ZIP 46237
Phone: (317) 396-1300
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INDIANAPOLIS NEUROSURGICAL GROUP is a magnetic resonance imaging radiologic technologist in Indianapolis, IN. INDIANAPOLIS NEUROSURGICAL GROUP NPI is 1447312616. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Goodman Campbell Brain And Spine.

The provider's business location address is:

7855 S EMERSON AVE
INDIANAPOLIS, IN
ZIP 46237-668
Phone: (317) 396-1300

The provider's authorized official is Derek Cantrell .
The authorized official title is Cfo and has the following contact phone number (317) 396-1300.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/29/2009.


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
12471M1202XRadiologic TechnologistMagnetic Resonance ImagingYes

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
1100318390MMEDICAIDINDIANA

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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