Provider Demographics
NPI:1730281601
Name:INDIANA VASCULAR SURGEONS, PC
Entity Type:Organization
Organization Name:INDIANA VASCULAR SURGEONS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHOFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-322-2390
Mailing Address - Street 1:1315 N ARLINGTON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-3200
Mailing Address - Country:US
Mailing Address - Phone:317-353-9338
Mailing Address - Fax:317-322-2393
Practice Address - Street 1:1315 N ARLINGTON AVE STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3200
Practice Address - Country:US
Practice Address - Phone:317-353-9338
Practice Address - Fax:317-322-2393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty