Organization
INDIANAPOLIS NEUROSURGICAL GROUP PC
Active
Organization
INDIANAPOLIS NEUROSURGICAL GROUP PC
Active
Other names
Goodman Campbell Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KIPPERT (BILLING MANAGER)
(317) 396-1451
Entity
Organization
Contact information
Practice address
13345 ILLINOIS ST, CARMEL, IN 46033
(317) 396-1300
Mailing address
13345 ILLINOIS STREET, CARMEL, IN 46032-3018
(317) 396-1300
(317) 396-1346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318390
—
IN
Enumeration date
05/27/2006
Last updated
03/26/2021
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