RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC NPI 1003000399

Orthopaedic Surgery (Hand Surgery) in Carmel, IN

About RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC

Reconstructive Hand To Shoulder Of Indiana, Llc is a provider in Carmel, IN. The NPI number assigned to this provider is 1003000399. The practitioner's primary taxonomy code is Orthopaedic Surgery (207XS0106X). The provider is registered as an organization and their NPI record was last updated 4 years ago. Reconstructive Hand To Shoulder Of Indiana, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Reconstructive Hand Surgeons Of Indiana.

NPI	1003000399 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC
Provider Location Address	13431 OLD MERIDIAN STREET SUITE 225 CARMEL, IN 46032 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	13431 OLD MERIDIAN STREET SUITE 225 CARMEL, IN 46032 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity Type	Organization Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	N/A
Is Organization Subpart?	No What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization Name	RECONSTRUCTIVE HAND SURGEONS OF INDIANA Provider other organization name The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; : 5 = other.
Other Name Type	Former Legal Business Name (4)
Enumeration Date	08-30-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	05-19-2014 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	207XS0106X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Orthopaedic Surgery
Type	Allopathic & Osteopathic Physicians
Specialization	Hand Surgery
License State	IN
Taxonomy Description	An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Business Address

RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC
13431 OLD MERIDIAN STREET
SUITE 225
CARMEL, IN
ZIP 46032
Phone: (317) 249-2616
Fax: (317) 249-2618

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Mailing Address

RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC
13431 OLD MERIDIAN STREET
SUITE 225
CARMEL, IN
ZIP 46032
Phone: (317) 249-2616
Fax: (317) 249-2618

Authorized Official

Authorized Official Name	MR. MICHAEL E PANNUNZIO M.D. Authorized official name The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official Title	PARTNER
Authorized Official Phone	(317) 249-2616

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
01063681A	OTHER (01)	IN
H21285	MEDICARE UPIN (02)	IN
H16915	MEDICARE UPIN (02)	IN
6019520001	MEDICARE NSC (07)	IN
252680	MEDICARE UPIN (02)	IN
90579	MEDICARE UPIN (02)	IN
D94498	MEDICARE UPIN (02)	IN

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