Organization
ORTHOPEDICS OF SOUTH CENTRAL INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CRAIG (CFO)
(812) 353-9554
Entity
Organization
Contact information
Practice address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 333-2663
(812) 333-8140
Mailing address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 353-6091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000256995
BLUE CROSS BLUE SHIELD
IN
05
—
200410200A
—
IN
01
—
CK6083
RAILROAD MEDICARE
IN
Enumeration date
06/21/2006
Last updated
02/15/2018
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