Healthcare Provider Details

I. General information

NPI: 1528717097
Provider Name (Legal Business Name): HAND SURGERY ASSOCIATES OF INDIANA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17219 FOUNDATION PKWY
WESTFIELD IN
46074-9805
US

IV. Provider business mailing address

PO BOX 7049
INDIANAPOLIS IN
46207-7049
US

V. Phone/Fax

Practice location:
  • Phone: 317-875-9105
  • Fax:
Mailing address:
  • Phone: 317-875-9105
  • Fax:

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 Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ANGELA STEVENSON
Title or Position: COO
Credential:
Phone: 317-875-9105