MEDICARE: NEUROSURGERY OF SOUTHERN INDIANA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1699769349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROSURGERY OF SOUTHERN INDIANA, LLC

Provider Business Mailing Address
First Line	:	2326 18TH ST
Second Line	:	STE 120
City	:	COLUMBUS
State	:	IN
Zip	:	47201-5359
Country	:	US
Telephone Number	:	812-373-9730
Fax Number	:	812-373-9734

Provider Business Practice Location Address
First Line	:	2326 18TH ST
Second Line	:	STE 120
City	:	COLUMBUS
State	:	IN
Zip	:	47201-5359
Country	:	US
Telephone Number	:	812-373-9730
Fax Number	:	812-373-9734

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	PATRICK J CONNOLLY
Credential	:	M.D.
Telephone Number	:	812-373-9730

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1427053511 — DR. WILLIAM H. STONEHILL M.D.
Practice Location Address:

2326 18TH ST STE 230
COLUMBUS, IN
47201-5359

Practice Phone: 812-376-9261
Practice Fax: 812-378-9518

1790779445 — MURRAY GASTROENTEROLOGY, LLC
Practice Location Address:

2326 18TH ST , STE 120
COLUMBUS, IN
47201-5359

Practice Phone: 812-376-7360
Practice Fax: 812-376-9136

1932136744 — BRUCE W RIDDLE MD
Practice Location Address:

2326 18TH ST , STE 210
COLUMBUS, IN
47201-5359

Practice Phone: 812-372-8426
Practice Fax: 812-372-8301

1952400509 — PHYSICIANS PRACTICE ORGANIZATION
Practice Location Address:

2326 18TH ST , SUITE 220
COLUMBUS, IN
47201-5359

Practice Phone: 812-378-7474
Practice Fax: 812-378-7462

1306934526 — GREGORY K DEDINSKY MD
Practice Location Address:

2326 18TH ST , STE 130
COLUMBUS, IN
47201-5359

Practice Phone: 812-376-0555
Practice Fax:

1790837789 — PHYSICIAN'S PRACTICE ORGANIZATION
Practice Location Address:

2326 18TH ST , SUITE 210
COLUMBUS, IN
47201-5359

Practice Phone: 812-372-8426
Practice Fax: 812-372-8301

Directions to “NEUROSURGERY OF SOUTHERN INDIANA, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.