Provider Demographics
NPI:1710155122
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:CEO
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:317-471-4489
Mailing Address - Street 1:1115 RONALD REAGAN PKWY
Mailing Address - Street 2:SUITE 224
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-6910
Mailing Address - Country:US
Mailing Address - Phone:317-272-1155
Mailing Address - Fax:317-217-2166
Practice Address - Street 1:1115 RONALD REAGAN PKWY
Practice Address - Street 2:SUITE 224
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-6910
Practice Address - Country:US
Practice Address - Phone:317-272-1155
Practice Address - Fax:317-217-2166
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAND SURGERY ASSOCIATES OF INDIANA INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-19
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0441770007Medicare NSC