Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Indiana Aesthetic and Plastic Surgery LLC

Organization Surgical Technologist · NPI 1487765103

Southern Indiana Aesthetic and Plastic Surgery LLC provides Surgical Technologist services in Columbus, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2450 N Park Dr Ste B
Columbus, IN 47203-2292 Not confirmed with CMS for 13 years — call before visiting
Phone: (812) 376-8997
Fax: (812) 373-5323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 01046379A (IN)

Record details

NPI number1487765103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Jackson — Owner · (812) 376-8997
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 4, 2012
Mailing address2450 N Park Dr Ste B, Columbus, IN 47203-2292