Pediatric Surgical Associates Inc

LBN: Pediatric Surgical Associates Inc
Pediatric Surgical Associates Inc is an health care organization with primary practice located at 250 N Shadeland Ave Ste 200 , Indianapolis IN 46219-4959. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as the primary health care specialty. Pediatric Surgical Associates Inc can be contacted via phone (877) 668-5621, or through Coleman, Judith via phone (317) 948-3525.

Contact Information

Primary practice address
250 N Shadeland Ave Ste 200 Indianapolis IN 46219-4959
Phone: (877) 668-5621
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Judith
Phone: (317) 948-3525

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X

Profile Details

NPI number 1790880292
LBN Legal business name Pediatric Surgical Associates Inc
DBA Doing business as
Authorized official Coleman, Judith
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Sep 30th, 2020 - about 4 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 1790880292 NPPES
Indiana MEDICAID 200349840

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