Healthcare Provider Details

I. General information

NPI: 1679501605
Provider Name (Legal Business Name): SOUTHERN INDIANA ORTHOPEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4665 N US HIGHWAY 31
COLUMBUS IN
47201-8558
US

IV. Provider business mailing address

4665 N US HIGHWAY 31
COLUMBUS IN
47201-8558
US

V. Phone/Fax

Practice location:
  • Phone: 812-376-9353
  • Fax: 812-376-3757
Mailing address:
  • Phone: 812-376-9353
  • Fax: 812-376-3757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SHARON KAY FISCHER
Title or Position: ADMINISTRATOR
Credential:
Phone: 812-376-9353