RECONSTRUCTIVE HAND SURGEONS OF INDIANA (RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC) NPI 1003000399
Orthopaedic Surgery (Hand Surgery) in Carmel, IN
About RECONSTRUCTIVE HAND SURGEONS OF INDIANA (RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC)
Reconstructive Hand Surgeons Of Indiana (reconstructive Hand To Shoulder Of Indiana, Llc) is a provider established in Carmel, Indiana specializing in orthopaedic surgery. The NPI number of Reconstructive Hand Surgeons Of Indiana (reconstructive Hand To Shoulder Of Indiana, Llc) is 1003000399 and was assigned on August 2007. The practitioner's primary taxonomy code is 207XS0106X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Reconstructive Hand Surgeons Of Indiana (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.
The authorized official of this NPI record is Mr. Michael E Pannunzio M.d. (Partner)
| NPI | 1003000399 |
| Provider Name | RECONSTRUCTIVE HAND SURGEONS OF INDIANA (RECONSTRUCTIVE HAND TO SHOULDER OF INDIANA, LLC) |
| Provider Location Address | 13431 OLD MERIDIAN STREET SUITE 225 CARMEL, IN 46032 |
| Provider Mailing Address | 13431 OLD MERIDIAN STREET SUITE 225 CARMEL, IN 46032 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | RECONSTRUCTIVE HAND SURGEONS OF INDIANA |
| Other Name Type | Former Legal Business Name (4) |
| Enumeration Date | 08-30-2007 |
| Last Update Date | 05-19-2014 |
Primary Taxonomy
| Taxonomy Code | 207XS0106X |
| 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 SURGEONS OF INDIANA (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
Mailing Address
RECONSTRUCTIVE HAND SURGEONS OF INDIANA (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
Group Taxonomy
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 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
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
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.