GREEN SURGICAL, LLC. – NPI #1235687666
Clinic/Center

GREEN SURGICAL, LLC. is an AHC clinic located in MERRILLVILLE, IN. NPPES has assigned the NPI number 1235687666 to GREEN SURGICAL, LLC. on September 14, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP3300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Pain

The NPI profile was previously updated about 10 years ago on Oct 11, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREEN SURGICAL, LLC. below.

NPI Profile for
GREEN SURGICAL, LLC.

NPI Number
1235687666
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GREEN SURGICAL, LLC.
Primary location
8687 CONNECTICUT ST
SUITE D
MERRILLVILLE, IN 46410-6361
Phone: (219) 750-9630 Fax:
Mailing address
PO BOX 10713
MERRILLVILLE, IN 46411
Phone: (219) 750-9630 Fax:
Organization Subpart
No
Authorized Official
TAREK SHAHBANDAR
OWNER
Phone: (219) 750-9630
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP3300X
- Clinic/Center / Pain (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.