Ccsg LLC
NPI 1700057718ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Indianapolis, IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Indianapolis, Indiana, registered in NPPES in March 2008. The authorized official on file is Samuel L. Odle, President/Ceo.
Overview
| NPI | 1700057718 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2008 |
| Last updated in NPPES | Feb 16, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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