Goodman Campbell Brain And Spine

LBN: Indianapolis Neurosurgical Group
Goodman Campbell Brain And Spine is an health care organization with primary practice located at 1001 W 10Th St Rg 4Th Floor, Indianapolis IN 46202-2859. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty. Indianapolis Neurosurgical Group can be contacted via phone (317) 630-7625, or through Cantrell, Derek via phone (317) 396-1300.

Contact Information

Primary practice address
1001 W 10Th St Rg 4Th Floor Indianapolis IN 46202-2859
Phone: (317) 630-7625
Fax: (317) 630-8721
Website:
Map and Directions
Authorized official contact:
Name: Cantrell, Derek CFO
Phone: (317) 396-1300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1689903635
LBN Legal business name Indianapolis Neurosurgical Group
DBA Doing business as Goodman Campbell Brain And Spine
Authorized official Cantrell, Derek CFO
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2009
Last updated Dec 21st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689903635 NPPES
Indiana MEDICAID 100318390

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