# CCSG LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clarian Cardiovascular Surgeons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700057718
- **Authorized official:** SAMUEL L ODLE (PRESIDENT/CEO)
- **Authorized official phone:** (317) 962-4836

## Contact information

- **Practice address:** 1801 N SENATE BLVD, STE 755, INDIANAPOLIS, IN 46202-1228
- **Practice address phone:** (317) 962-5888
- **Practice address fax:** (317) 962-6259
- **Mailing address:** 250 N SHADELAND AVE, STE 200, INDIANAPOLIS, IN 46219-4959
- **Mailing address phone:** (317) 962-4836
- **Mailing address fax:** (317) 962-4996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/18/2008
- **Last updated:** 02/16/2010