OrganizationActive
Obsidian Surgical LLC
NPI 1154857548 · Plastic Surgery Physician · Avon, IN
Obsidian Surgical LLC is a Plastic Surgery Physician organization in Avon, IN (NPI 1154857548).
Provider details
- NPI number
- 1154857548
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stanley Harper, Md/President/Owner(317) 399-4567
- License
- 01068593A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10090 E US Highway 36
Suite D
Avon, IN 46123-8175
Phone: (317) 399-4567
Street-level locationGet directions
Mailing address
1805 Beaufain St
Carmel, IN 46032-7202
Registry dates
- Enumerated
- 2017-05-04
- Last updated
- 2017-05-04
Frequently asked questions
- What is Obsidian Surgical LLC's NPI number?
- Obsidian Surgical LLC's National Provider Identifier (NPI) is 1154857548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Obsidian Surgical LLC?
- Obsidian Surgical LLC is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Obsidian Surgical LLC located?
- Obsidian Surgical LLC's practice location on file with NPPES is 10090 E US Highway 36, Avon, IN 46123-8175.
- What is Obsidian Surgical LLC's phone number?
- The practice phone number listed in the NPPES registry for Obsidian Surgical LLC is (317) 399-4567.
- Who is the authorized official for Obsidian Surgical LLC?
- The authorized official listed on Obsidian Surgical LLC's NPPES record is Stanley Harper, Md/President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Obsidian Surgical LLC's NPI active?
- Yes — Obsidian Surgical LLC's NPI (1154857548) is active in the NPPES registry as of the last update on 2017-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.