ALLIED PHYSICIANS OF MICHIANA LLC NPI 1023343282

NPI Information

  • NPI: 1023343282
  • Provider Name: ALLIED PHYSICIANS OF MICHIANA, LLC
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Doing Business As: ALLIED BONE AND JOINT
  • Address: 6301 UNIVERSITY COMMONS
    SUITE 100
    SOUTH BEND, IN
    ZIP 46635
  • Phone: (574) 247-4667

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NPI Details

ALLIED PHYSICIANS OF MICHIANA, LLC is an orthopaedic surgery in South Bend, IN. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ALLIED PHYSICIANS OF MICHIANA, LLC NPI is 1023343282. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Allied Bone And Joint.

The provider's business location address is:

6301 UNIVERSITY COMMONS
SUITE 100
SOUTH BEND, IN
ZIP 46635-571
Phone: (574) 247-4667
Fax: (574) 271-4458

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 10/6/2009 and was last updated on 1/27/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201236170MEDICAIDINDIANA
24108460009MEDICARE NSCINDIANA
3200962980ZMEDICAIDINDIANA
4264180MEDICARE PIN
5200962980JMEDICAIDINDIANA

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: 3/30/2025

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