Healthcare Provider Details

I. General information

NPI: 1285080200
Provider Name (Legal Business Name): HAND SURGERY ASSOCIATES OF INDIANA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8820 S MERIDIAN ST STE. 235
INDIANAPOLIS IN
46217-6056
US

IV. Provider business mailing address

8501 HARCOURT RD
INDIANAPOLIS IN
46260-2046
US

V. Phone/Fax

Practice location:
  • Phone: 317-875-9105
  • Fax: 317-808-8802
Mailing address:
  • Phone: 317-471-4339
  • Fax: 317-872-6873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ANGELA STEVENSON
Title or Position: CEO
Credential:
Phone: 317-471-4489