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INDY SOUTHSIDE SURGICAL
NPI 1144314097
Surgery in Indianapolis, IN

Active since October 03, 2006
5255 E STOP 11 RD, SUITE 450, INDIANAPOLIS, IN 46237(317) 856-4800(317) 865-4806 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Indy Southside Surgical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDY SOUTHSIDE SURGICAL (NPI 1144314097) is a healthcare organization registered as a surgery in Indianapolis, Indiana and active in the NPI registry since October 2006. The organization lists Dena L Petty, Manager, as its authorized official.

NPPES Registry Identity

NPI1144314097
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMANDELBAUM SURGICAL PC
Location Address5255 E STOP 11 RD, SUITE 450Indianapolis, IN 46237-6340
Mailing Address5255 E Stop 11 Rd, Suite 450Indianapolis, IN 46237-6340 · (317) 856-4800 · Fax (317) 865-4806
Phone(317) 856-4800
Fax(317) 865-4806
Organization SubpartNo
Authorized OfficialDena L PettyManager · (317) 865-4800
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1144314097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5255 E STOP 11 RD, Indianapolis, IN 46237
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Other Names 1

Doing Business AsIndy Southside Surgical

Other Identifiers 1

OtherCE6013IN · Rr Medicare Group Number

Group Practice 1

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES PHILIP BARTLEY JR. M.D.
Orthopaedic Surgery
5255 E STOP 11 RD, SUITE 300
INDIANAPOLIS, IN 46237
Marion County (317) 528-4723
DR. JASON J GUTT M.D.
Otolaryngology
5255 E STOP 11 RD, SUITE 400
INDIANAPOLIS, IN 46237
Marion County (317) 573-4370
MR. BRIAN PEAVLER ATC, LAT
Specialist/Technologist (Athletic Trainer)
5255 E STOP 11 RD, SUITE 300
INDIANAPOLIS, IN 46237
Marion County (317) 884-5260
ST FRANCIS MEDICAL BUSINESS SERVICE
Neurological Surgery
5255 E STOP 11 RD, SUITE 310
INDIANAPOLIS, IN 46237
Marion County (317) 851-2663
DR. HEATHER MARIA GREIST M.D.
Internal Medicine (Rheumatology)
5255 E STOP 11 RD, SUITE 320
INDIANAPOLIS, IN 46237
Marion County (317) 888-1467
SOUTHEAST SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
5255 E STOP 11 RD, # 110
INDIANAPOLIS, IN 46237
Marion County (317) 884-5200
MRS. LINDSEY LAUREN ANDERSON ATC
Rehabilitation Practitioner
5255 E STOP 11 RD, SUITE 300
INDIANAPOLIS, IN 46237
Marion County (317) 884-5200
MR. DANIEL WELTY MS,LAT, ATC
Specialist/Technologist (Athletic Trainer)
5255 E STOP 11 RD
INDIANAPOLIS, IN 46237
Marion County (317) 781-1133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandelbaum Surgical PC's NPI number?

The NPI number for Mandelbaum Surgical PC is 1144314097. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Indy Southside Surgical.

Where is Mandelbaum Surgical PC located?

Mandelbaum Surgical PC is located at 5255 E Stop 11 Rd Suite 450, Indianapolis, IN 46237. The listed phone number is (317) 856-4800.

What is Mandelbaum Surgical PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Mandelbaum Surgical PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.