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NPI Code Detail

MEDICARE: INDIANA ORTHOPAEDIC CENTER

MEDICARE: INDIANA ORTHOPAEDIC CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1649333881
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIANA ORTHOPAEDIC CENTER
Provider Business Mailing Address
First Line : 7930 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250
Country : US
Telephone Number : 317-588-2663
Fax Number : 317-588-2727
Provider Business Practice Location Address
First Line : 30 W RAMPART ST
Second Line : SUITE 160
City : SHELBYVILLE
State : IN
Zip : 46176-8846
Country : US
Telephone Number : 317-588-2663
Fax Number : 317-392-1446
Authorized Official
Title or Position : BILLING MANAGER
Name : DONNA C SANFORD
Credential :
Telephone Number : 317-863-2180
Provider Enumeration Date : 12/19/2006
Last Update Date : 08/22/2020

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Directions to “INDIANA ORTHOPAEDIC CENTER ” Practice Location

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