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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