Healthcare Provider Details

I. General information

NPI: 1316072804
Provider Name (Legal Business Name): SOUTHERN INDIANA ORTHOPEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
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:
Mailing address:
  • Phone: 812-376-9353
  • Fax: 812-376-3757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

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