MEDICARE: THE INDIANA ORTHOPAEDIC CENTER PC

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	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1811173974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE INDIANA ORTHOPAEDIC CENTER PC

Provider Business Mailing Address
First Line	:	7930 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2041
Country	:	US
Telephone Number	:	317-588-2663
Fax Number	:	317-588-2727

Provider Business Practice Location Address
First Line	:	14540 PRAIRIE LAKES BLVD
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-4326
Country	:	US
Telephone Number	:	317-588-2663
Fax Number	:	317-588-2727

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DOUGLAS AUGUST KUHN
Credential	:	MD
Telephone Number	:	317-588-2663

Provider Enumeration Date	:	01/18/2008
Last Update Date	:	01/18/2008

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