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ALLIED PHYSICIANS OF MICHIANA NPI 1003048125


NPI Information

NPI: 1003048125
Provider Name: ALLIED PHYSICIANS OF MICHIANA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
6301 UNIVERSITY COMMONS
SUITE 230
SOUTH BEND, IN
ZIP 46635
Phone: (574) 251-2100
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ALLIED PHYSICIANS OF MICHIANA is an obstetrics gynecology in South Bend, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ALLIED PHYSICIANS OF MICHIANA NPI is 1003048125. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6301 UNIVERSITY COMMONS
SUITE 230
SOUTH BEND, IN
ZIP 46635-571
Phone: (574) 251-2100
Fax: (574) 251-2150

The provider's authorized official is Shery A Roussarie .
The authorized official title is Ceo and has the following contact phone number (574) 251-2100.

The enumeration date for this NPI number is 8/24/2009 and was last updated on 7/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryNo
2207Y00000XOtolaryngologyNo
3208600000XSurgeryNo
42086S0129XSurgeryVascular SurgeryNo
5208800000XUrologyNo
6208C00000XColon & Rectal SurgeryNo
7207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200962980MEDICAIDINDIANA
2264180MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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