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ASSOCIATED SURGEONS AND PHYSICIANS LLC NPI 1487809588


NPI Information

NPI: 1487809588
Provider Name: ASSOCIATED SURGEONS AND PHYSICIANS, LLC

Doing Business As: WOMENS HEALTH ADVANTAGE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 15D0986622

Address:
2518 E DUPONT RD
FORT WAYNE, IN
ZIP 46825
Phone: (260) 432-4400
Get Directions

ASSOCIATED SURGEONS AND PHYSICIANS, LLC is an obstetrics gynecology in Fort Wayne, 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. ASSOCIATED SURGEONS AND PHYSICIANS, LLC NPI is 1487809588. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Womens Health Advantage.

The provider's business location address is:

2518 E DUPONT RD
FORT WAYNE, IN
ZIP 46825-675
Phone: (260) 432-4400
Fax: (260) 969-6898

The provider's authorized official is Trish Warren .
The authorized official title is Cfo and has the following contact phone number (260) 432-4400.

The CLIA number assigned to this NPI record is 15D0986622 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2008 and was last updated on 6/30/2016.


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
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryINDIANANo
22088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryNo
3207V00000XObstetrics & GynecologyINDIANAYes

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
1259990MEDICARE PININDIANA
2FP0976OTHERINDIANARAILROAD

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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