Organization
CASTLETON SURGICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD D. BAUGHMAN M.D. (PRESIDENT)
(317) 621-5450
Entity
Organization
Contact information
Practice address
8040 CLEARVISTA PKWY, SUITE #240, INDIANAPOLIS, IN 46256-5630
(317) 621-5450
(317) 621-5453
Mailing address
8040 CLEARVISTA PKWY, SUITE #240, INDIANAPOLIS, IN 46256-5630
(317) 621-5450
(317) 621-5453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01033626A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176920A
—
IN
01
—
CL0542
MEDICARE RAILROAD
IN
Enumeration date
07/03/2006
Last updated
04/22/2008
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