Organization
ADVANCED SURGERY OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT EDWARD MIMMS M.D. (SURGEON)
(317) 679-1757
Entity
Organization
Contact information
Practice address
9470 BRIDGEWATER CIR, INDIANAPOLIS, IN 46250-3412
(317) 598-0094
Mailing address
PO BOX 56051, INDIANAPOLIS, IN 46256-0051
(317) 598-0094
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
01068514A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200986830
—
IN
Enumeration date
04/19/2013
Last updated
04/19/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us