Organization
SURGERY CENTER ANESTHESIOLOGISTS, LLC
Active
Organization
SURGERY CENTER ANESTHESIOLOGISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL N PAYNE MD (AUTHORIZED REP)
(317) 235-8825
Entity
Organization
Contact information
Practice address
13421 OLD MERIDIAN ST, CARMEL, IN 46032-1427
(317) 706-1600
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-6400
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IN
Enumeration date
11/27/2007
Last updated
11/27/2007
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