ASSOCIATED SURGEONS AND PHYSICIANS LLC NPI 1083868269

NPI Information

NPI: 1083868269
Provider Name: ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
CLIA Number: 15D0357068
Address: 2518 E DUPONT RD
FORT WAYNE, IN
ZIP 46825
Phone: (260) 432-4400

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NPI Details

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 1083868269. The provider is registered as an organization entity type and is a multi-specialty group.

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 15D0357068 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 10/5/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	208000000X	Pediatrics			No
2	208C00000X	Colon & Rectal Surgery		INDIANA	No
3	207VF0040X	Obstetrics & Gynecology	Urogynecology and Reconstructive Pelvic Surgery	INDIANA	No
4	207VM0101X	Obstetrics & Gynecology	Maternal & Fetal Medicine	INDIANA	No
5	2083P0011X	Preventive Medicine	Undersea and Hyperbaric Medicine	INDIANA	No
6	207R00000X	Internal Medicine		INDIANA	No
7	207Q00000X	Family Medicine		INDIANA	No
8	367A00000X	Advanced Practice Midwife		INDIANA	No
9	363L00000X	Nurse Practitioner		INDIANA	No
10	208600000X	Surgery		INDIANA	No
11	207V00000X	Obstetrics & Gynecology		INDIANA	Yes
12	213ES0103X	Podiatrist	Foot & Ankle Surgery	INDIANA	No

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
1	259990	MEDICARE PIN	INDIANA

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: 11/21/2025

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