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Contact Information

ASSOCIATED SURGEONS AND PHYSICIANS LLC
700 BROADWAY FL 2
FORT WAYNE, IN46802-1402
 Phone: 260-424-9000
 Fax: 260-425-3029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for ASSOCIATED SURGEONS AND PHYSICIANS LLC

NPI # 1386997690
LBN Legal business name ASSOCIATED SURGEONS AND PHYSICIANS LLC
Authorized official TRISH WARREN - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/24/2012
Last updated 06/13/2016 - About 10 years ago
Identifiers
IN Medicaid 201338430
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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