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ALLIED PHYSICIANS OF MICHIANA LLC NPI 1912232828


NPI Information

NPI: 1912232828
Provider Name: ALLIED PHYSICIANS OF MICHIANA, LLC

Doing Business As: OB GYN ASSOCIATES OF NORTHERN IN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
6301 UNIVERSITY COMMONS
SUITE 310
SOUTH BEND, IN
ZIP 46635
Phone: (574) 232-1471
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ALLIED PHYSICIANS OF MICHIANA, LLC 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, LLC NPI is 1912232828. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ob Gyn Associates Of Northern In.

The provider's business location address is:

6301 UNIVERSITY COMMONS
SUITE 310
SOUTH BEND, IN
ZIP 46635-571
Phone: (574) 232-1471
Fax: (574) 239-8511

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 10/9/2009 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
1207V00000XObstetrics & 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
1264180MEDICARE PIN
24108460002MEDICARE NSCINDIANA
3200962980QMEDICAIDINDIANA

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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