| Indiana Spine Group, Pc | |
|
13225 N Meridian St, Carmel, IN 46032-5480 | |
| (317) 228-7000 | |
| (317) 228-2321 |
| Full Name | Indiana Spine Group, Pc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
| Location | 13225 N Meridian St, Carmel, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609960046 | NPI | - | NPPES |
| 000000214063 | Other | IN | ANTHEM GROUP NUMBER |
| CJ8084 | Other | IN | MEDICARE RAILROAD |
| 366735000 | Other | IN | US DEPARTMENT OF LABOR |
| 366735000 | Other | IN | US POSTAL SERVICE WORKERS |
| 200359410 | Medicaid | IN |
| Provider Name | Jonathan P Gentile |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1558456020 PECOS PAC ID: 7618923533 Enrollment ID: I20050323001393 |
| Provider Name | John W Arbuckle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043292188 PECOS PAC ID: 5799715116 Enrollment ID: I20050817000217 |
| Provider Name | Bradley Marc Herold |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285721779 PECOS PAC ID: 7911950027 Enrollment ID: I20060425000306 |
| Provider Name | Mario Brkaric |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669428645 PECOS PAC ID: 0244334381 Enrollment ID: I20070330000048 |
| Provider Name | Carole E Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003981796 PECOS PAC ID: 4688771140 Enrollment ID: I20070517000126 |
| Provider Name | Jose Castillo Vitto |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962698704 PECOS PAC ID: 5890876809 Enrollment ID: I20080116000277 |
| Provider Name | Julie G Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801067699 PECOS PAC ID: 5496825598 Enrollment ID: I20080602000334 |
| Provider Name | Paul Kraemer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770535411 PECOS PAC ID: 0941300545 Enrollment ID: I20080905000292 |
| Provider Name | Kevin E Macadaeg |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1114011681 PECOS PAC ID: 0143362897 Enrollment ID: I20100119000680 |
| Provider Name | John B Chambers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033147228 PECOS PAC ID: 8123167855 Enrollment ID: I20100313000000 |
| Provider Name | Thomas M Reilly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861597387 PECOS PAC ID: 9830228857 Enrollment ID: I20100528000502 |
| Provider Name | John M Gorup |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215906029 PECOS PAC ID: 8426941493 Enrollment ID: I20100713000268 |
| Provider Name | Justin Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275791469 PECOS PAC ID: 0749305126 Enrollment ID: I20110812000232 |
| Provider Name | Shalini Suman Barkat |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255511317 PECOS PAC ID: 5698931475 Enrollment ID: I20120723000869 |
| Provider Name | Daniel Luck Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023276029 PECOS PAC ID: 5991942294 Enrollment ID: I20130801000381 |
| Provider Name | Lori R Kiefer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033352943 PECOS PAC ID: 2466686902 Enrollment ID: I20131016000525 |
| Provider Name | Joseph Smucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225029655 PECOS PAC ID: 7911971502 Enrollment ID: I20140821000960 |
| Provider Name | Ashwin Reddy Madupu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437416310 PECOS PAC ID: 2466671540 Enrollment ID: I20140923000887 |
| Provider Name | Elizabeth A. Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861879132 PECOS PAC ID: 1759692676 Enrollment ID: I20150618002777 |
| Provider Name | Robert D Funk |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1316265457 PECOS PAC ID: 5890002125 Enrollment ID: I20160412002531 |
| Provider Name | Megan Ashlee Savka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376993030 PECOS PAC ID: 9335434653 Enrollment ID: I20160825002511 |
| Provider Name | Cari Ann Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316229842 PECOS PAC ID: 5193964898 Enrollment ID: I20161202001513 |
| Provider Name | Brian M Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326364738 PECOS PAC ID: 5193967339 Enrollment ID: I20180508000892 |
| Provider Name | Barrett Steven Boody |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952663262 PECOS PAC ID: 5496059586 Enrollment ID: I20180806001855 |
| Provider Name | Christina M Ciresi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215494331 PECOS PAC ID: 0941541494 Enrollment ID: I20190410000125 |
| Provider Name | Michael Mccarthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942628730 PECOS PAC ID: 6204119050 Enrollment ID: I20200526001157 |
| Provider Name | Jeffrey A Konopka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336566454 PECOS PAC ID: 9032443023 Enrollment ID: I20200527000378 |
| Provider Name | Kristine Diane Nagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346729837 PECOS PAC ID: 7113343757 Enrollment ID: I20200813001861 |
| Provider Name | Lisa M Litwiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790910958 PECOS PAC ID: 3678623956 Enrollment ID: I20210212000364 |
| Provider Name | Neil Daniel Farren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679936470 PECOS PAC ID: 6709176209 Enrollment ID: I20210812001518 |
| Provider Name | Jason Yipin Ye |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790097582 PECOS PAC ID: 4486968187 Enrollment ID: I20220721001157 |
| Provider Name | Chelsey Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407573744 PECOS PAC ID: 5294104402 Enrollment ID: I20221210000168 |
| Provider Name | Zachary M Napier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891145843 PECOS PAC ID: 5092008037 Enrollment ID: I20230526002429 |
| Provider Name | Daniel Lee Robinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285122655 PECOS PAC ID: 5597010314 Enrollment ID: I20230629003016 |
| Provider Name | Shahjehan Ahmad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841653219 PECOS PAC ID: 8123318284 Enrollment ID: I20230630001491 |
| Provider Name | Peter R Swiatek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013411412 PECOS PAC ID: 4981940491 Enrollment ID: I20240603001224 |
| Provider Name | Samuel Swenson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003378720 PECOS PAC ID: 1153656210 Enrollment ID: I20240715001577 |
| Provider Name | Ilya Gutman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811417066 PECOS PAC ID: 8628301009 Enrollment ID: I20240716001298 |
| Provider Name | Ashley M Ahmad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538628250 PECOS PAC ID: 2365784394 Enrollment ID: I20241009001331 |
| Provider Name | Molly A Slaubaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417756545 PECOS PAC ID: 5294259941 Enrollment ID: I20250403003091 |
| Mailing Address | Practice Location Address |
|---|---|
| Indiana Spine Group, Pc 13225 N Meridian St, Carmel, IN 46032-5480 Ph: (317) 228-7000 | Indiana Spine Group, Pc 13225 N Meridian St, Carmel, IN 46032-5480 Ph: (317) 228-7000 |