Organization
NORTHSIDE ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SATZ MD (HEAD MANAGING MEMBER)
(317) 567-2180
Entity
Organization
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 567-2180
(317) 567-2180
Mailing address
PO BOX 7232, DEPT 165, INDIANAPOLIS, IN 46207-7232
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000103988
ANTHEM
IN
05
—
200086540
—
IN
01
—
DB3394
RR MEDICARE
IN
Enumeration date
11/15/2005
Last updated
12/01/2009
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