Provider Demographics
NPI:1922120609
Name:ASSOCIATED PLASTIC SURGEONS OF INDIANA PC
Entity Type:Organization
Organization Name:ASSOCIATED PLASTIC SURGEONS OF INDIANA PC
Other - Org Name:TURKLE & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:K
Authorized Official - Last Name:TURKLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-848-0001
Mailing Address - Street 1:11455 N MERIDIAN ST
Mailing Address - Street 2:150
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1624
Mailing Address - Country:US
Mailing Address - Phone:317-848-0001
Mailing Address - Fax:317-848-0002
Practice Address - Street 1:11455 N MERIDIAN ST
Practice Address - Street 2:150
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1624
Practice Address - Country:US
Practice Address - Phone:317-848-0001
Practice Address - Fax:317-848-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01041619A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN278000Medicare ID - Type Unspecified