Provider Demographics
NPI:1144993791
Name:HAND SURGERY ASSOCIATES OF INDIANA INC
Entity type:Organization
Organization Name:HAND SURGERY ASSOCIATES OF INDIANA INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-875-9105
Mailing Address - Street 1:737 W GREEN MEADOWS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-2374
Mailing Address - Country:US
Mailing Address - Phone:317-875-9105
Mailing Address - Fax:
Practice Address - Street 1:737 W GREEN MEADOWS DR STE 200
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-2374
Practice Address - Country:US
Practice Address - Phone:317-875-9105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAND SURGERY ASSOCIATES OF INDIANA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-29
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies