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Contact Information

SOUTH BEND ORTHOPAEDIC ASSOCIATES, INC.
53880 CARMICHAEL DR
SOUTH BEND, IN46635-1567
 Phone: 574-247-9441
 Fax: 574-247-9442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SOUTH BEND ORTHOPAEDIC ASSOCIATES, INC.

NPI # 1669421277
LBN Legal business name SOUTH BEND ORTHOPAEDIC ASSOCIATES, INC.
Authorized official JAMES SIERADZKI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2006
Last updated 05/11/2017 - About 9 years ago
Identifiers
IN License # 50000460A
IN Medicaid 100220150A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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