Indianapolis Neurosurgical Group PC
Neurological Surgery in Greenwood, IN. Organization (NPI-2).
NPI number1023035482
StatusActive
Last updated in NPPESJun 4, 2015
Details
- NPI
- 1023035482
- Entity type
- Organization (NPI-2)
- Legal business name
- Indianapolis Neurosurgical Group PC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2006
- Last updated
- Jun 4, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – |
Other names
- Goodman Campbell Brain And Spine (Doing Business As)
Practice location
1051 S Greenwood Springs BlvdSuite 210
Greenwood, IN 46143-6479
Phone 317-396-1300 · Fax 317-396-1346
Mailing address
1051 S Greenwood Springs BlvdSuite 201
Greenwood, IN 46143-6479
Phone 317-396-1300 · Fax 317-396-1346
Authorized official
Derek Cantrell
Cfo
3173961386
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