Healthcare Provider Details

I. General information

NPI: 1992411292
Provider Name (Legal Business Name): INDIANA ANESTHESIA SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 01/30/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11650 OLIO RD STE 1000-389
FISHERS IN
46037-7619
US

IV. Provider business mailing address

11650 OLIO RD STE 1000-389
FISHERS IN
46037-7619
US

V. Phone/Fax

Practice location:
  • Phone: 317-250-7508
  • Fax: 317-614-9655
Mailing address:
  • Phone: 317-250-7508
  • Fax: 317-614-9655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON J SPOLJORIC
Title or Position: OWNER / PARTNER
Credential: MD
Phone: 317-250-7508