GOODMAN CAMPBELL BRAIN AND SPINE
NPI 1669701629
Neurological Surgery in Indianapolis, IN

NPI Status: Active since December 21, 2009

Contact Information

702 RILEY HOSPITAL DR
SUITE 1134
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-8852
Fax: (317) 274-8895

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  • Organization
  • Neurological Surgery

About GOODMAN CAMPBELL BRAIN AND SPINE

This page provides the complete NPI Profile along with additional information for Goodman Campbell Brain And Spine, a provider established in Indianapolis, Indiana operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1669701629 assigned on December 2009. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Goodman Campbell Brain And Spine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Goodman Campbell Brain And Spine. The authorized official of this NPI record is Derek Cantrell Cfo (Chief Financial Officer)

NPI
1669701629
Provider Legal Name
INDIANAPOLIS NEUROSURGICAL GROUP
Other Organization Name
GOODMAN CAMPBELL BRAIN AND SPINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
702 RILEY HOSPITAL DR SUITE 1134 INDIANAPOLIS, IN 46202
Location Phone
(317) 274-8852
Location Fax
(317) 274-8895
Mailing Address
8333 NAAB RD SUITE 255 INDIANAPOLIS, IN 46260
Mailing Phone
(317) 396-1300
Mailing Fax
(317) 274-8895
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2009
Last Update Date
09-12-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEREK CANTRELL CFO

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(317) 396-1300

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
061570MEDICARE PIN (08)IN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669701629
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26129140264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 4 + 0 + 2 + 6 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1669701629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588601116 JACQUELYN E ALLISON M.D.
Individual
Anesthesiology (Pediatric Anesthesiology)702 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
(317) 944-9981
1669298543 NANCY DAVISON
Individual
Registered Nurse (Emergency)702 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
(317) 944-4673

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669701629, enumerated in the NPI registry as an "organization" on December 21, 2009

The provider is located at 702 Riley Hospital Dr Suite 1134 Indianapolis, In 46202 and the phone number is (317) 274-8852

This medical organization specializes in Neurological Surgery with taxonomy code 207T00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 21, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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