Healthcare Provider Details

I. General information

NPI: 1124719257
Provider Name (Legal Business Name): INDY SURGEONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2023
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9660 E 146TH ST STE 100
NOBLESVILLE IN
46060-3097
US

IV. Provider business mailing address

9660 E 146TH ST STE 100
NOBLESVILLE IN
46060-3097
US

V. Phone/Fax

Practice location:
  • Phone: 317-773-6677
  • Fax:
Mailing address:
  • Phone: 317-773-6677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH BETH YOUNG
Title or Position: PHYSICIAN
Credential: DO
Phone: 330-933-5439