Provider Demographics
NPI:1861474363
Name:TRANSMED ASSOCIATES, INC.
Entity Type:Organization
Organization Name:TRANSMED ASSOCIATES, INC.
Other - Org Name:MAXCARE BIONICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILBUR
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAINES
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:317-272-9993
Mailing Address - Street 1:8131 KINGSTON ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-9119
Mailing Address - Country:US
Mailing Address - Phone:317-272-9993
Mailing Address - Fax:317-272-7693
Practice Address - Street 1:8131 KINGSTON ST
Practice Address - Street 2:SUITE 700
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-9119
Practice Address - Country:US
Practice Address - Phone:317-272-9993
Practice Address - Fax:317-272-7693
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN81541OtherNORTHWOOD NPN PROVIDER NU
IN000000268024OtherANTHEM BCBS PROVIDER ID
IN200030800CMedicaid
IN81541OtherNORTHWOOD NPN PROVIDER NU