Healthcare Provider Details

I. General information

NPI: 1699574376
Provider Name (Legal Business Name): ORTHOPAEDICS-INDIANAPOLIS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E 13TH ST
RUSHVILLE IN
46173-2126
US

IV. Provider business mailing address

8450 NORTHWEST BLVD
INDIANAPOLIS IN
46278-1381
US

V. Phone/Fax

Practice location:
  • Phone: 765-932-7063
  • Fax: 317-808-8802
Mailing address:
  • Phone: 317-802-2104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY GIOIA
Title or Position: CFO
Credential:
Phone: 317-802-2042