Provider Demographics
NPI:1992411292
Name:INDIANA ANESTHESIA SOLUTIONS LLC
Entity type:Organization
Organization Name:INDIANA ANESTHESIA SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPOLJORIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-250-7508
Mailing Address - Street 1:11650 OLIO RD STE 1000-389
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-7619
Mailing Address - Country:US
Mailing Address - Phone:317-250-7508
Mailing Address - Fax:317-614-9655
Practice Address - Street 1:11650 OLIO RD STE 1000-389
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7619
Practice Address - Country:US
Practice Address - Phone:317-250-7508
Practice Address - Fax:317-614-9655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty