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OBSIDIAN SURGICAL LLC
NPI 1154857548
Plastic Surgery in Avon, IN

Active since May 04, 2017
10090 E US HIGHWAY 36, SUITE D, AVON, IN 46123(317) 399-4567 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Obsidian Surgical Llc NPPES

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

OBSIDIAN SURGICAL LLC (NPI 1154857548) is a healthcare organization registered as a plastic surgery in Avon, Indiana and active in the NPI registry since May 2017. The organization lists Stanley Joseph Harper, Md/president/owner, as its authorized official.

NPPES Registry Identity

NPI1154857548
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameOBSIDIAN SURGICAL LLC
Location Address10090 E US HIGHWAY 36, SUITE DAvon, IN 46123-8175
Mailing Address1805 Beaufain StCarmel, IN 46032-7202 · (317) 399-4567
Phone(317) 399-4567
Organization SubpartNo
Authorized OfficialStanley Joseph HarperMd/president/owner · (317) 399-4567
Enumeration DateMay 4, 2017
✔ NPI 1154857548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in IN · 01068593A
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
10090 E US HIGHWAY 36, Avon, IN 46123
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Other Identifiers 1

Other01068593AIN · Medical License

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Other Providers at the Same Location NPPES

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

CHANGES HOME HEALTH CARE, LLC
Home Health
10090 E US HIGHWAY 36, SUITE C
AVON, IN 46123
Hendricks County (317) 986-6965

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 Obsidian Surgical LLC's NPI number?

The NPI number for Obsidian Surgical LLC is 1154857548. It was assigned to this organization in the NPPES registry on May 4, 2017.

Where is Obsidian Surgical LLC located?

Obsidian Surgical LLC is located at 10090 E Us Highway 36 Suite D, Avon, IN 46123. The listed phone number is (317) 399-4567.

What is Obsidian Surgical LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

What insurance does Obsidian Surgical LLC accept?

Health plans from CareSource list Obsidian Surgical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Obsidian Surgical LLC was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.