SURGICENTER GROUP LLC NPI 1093746380

NPI Information

  • NPI: 1093746380
  • Provider Name: SURGICENTER GROUP LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: FORT WAYNE AMBULATORY SURGERY CENTER
  • Address: 321 E WAYNE ST
    FORT WAYNE, IN
    ZIP 46802
  • Phone: (260) 422-5976

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NPI Details

SURGICENTER GROUP LLC is an ambulatory surgical clinic center in Fort Wayne, IN. SURGICENTER GROUP LLC NPI is 1093746380. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Wayne Ambulatory Surgery Center.

The provider's business location address is:

321 E WAYNE ST
FORT WAYNE, IN
ZIP 46802-713
Phone: (260) 422-5976
Fax: (260) 969-1041

The provider's authorized official is Jeffrey S Rapkin .
The authorized official title is Part Owner and has the following contact phone number (765) 286-8888.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 3/12/2009.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1490005008MEDICARE PININDIANA
2ZG8030MEDICARE PININDIANA
3000000532877OTHERINDIANAANTHEM PIN
4200875480AMEDICAIDINDIANA
52883910MEDICAIDOHIO

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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