Healthcare Provider Details

I. General information

NPI: 1255521274
Provider Name (Legal Business Name): NEW HOPE ORTHOPAEDICS AND SPORTS MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 N MERIDIAN ST STE 290
CARMEL IN
46032-7122
US

IV. Provider business mailing address

325 WESTFIELD RD STE A
NOBLESVILLE IN
46060-1496
US

V. Phone/Fax

Practice location:
  • Phone: 317-815-1700
  • Fax: 317-770-1727
Mailing address:
  • Phone: 317-770-1700
  • Fax: 317-770-1727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. PEGGY B MINDREBO
Title or Position: BUSINESS MANAGER
Credential:
Phone: 317-770-1700