Organization
JOINT REPLACEMENT SURGEONS OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MEDING MD (MANAGING PARTNER)
(317) 831-2273
Entity
Organization
Contact information
Practice address
1199 HADLEY RD, MOORESVILLE, IN 46158-1788
(317) 831-2273
(317) 831-9347
Mailing address
1199 HADLEY RD, MOORESVILLE, IN 46158-1788
(317) 831-2273
(317) 831-9347
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188520
ANTHEM
IN
01
—
2065256
UNITED HEALTHCARE
IN
Enumeration date
03/31/2006
Last updated
04/16/2008
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