Provider Demographics
NPI:1528717097
Name:HAND SURGERY ASSOCIATES OF INDIANA INC
Entity type:Organization
Organization Name:HAND SURGERY ASSOCIATES OF INDIANA INC
Other - Org Name:
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:PO BOX 7049
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46207-7049
Mailing Address - Country:US
Mailing Address - Phone:317-875-9105
Mailing Address - Fax:
Practice Address - Street 1:17219 FOUNDATION PKWY
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-9805
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:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier