ORTHOPAEDICS NORTHEAST PC NPI 1154380749

NPI Information

  • NPI: 1154380749
  • Provider Name: ORTHOPAEDICS NORTHEAST, PC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SURGERY ONE
  • Address: 7232 ENGLE RD
    FORT WAYNE, IN
    ZIP 46804
  • Phone: (260) 484-8551

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NPI Details

ORTHOPAEDICS NORTHEAST, PC is an ambulatory surgical clinic center in Fort Wayne, IN. ORTHOPAEDICS NORTHEAST, PC NPI is 1154380749. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgery One.

The provider's business location address is:

7232 ENGLE RD
FORT WAYNE, IN
ZIP 46804-222
Phone: (260) 484-8551
Fax: (260) 484-9603

The provider's authorized official is Raymond Kusisto .
The authorized official title is Ceo and has the following contact phone number (260) 484-8551.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 8/22/2020.

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 Surgical50001907AINDIANAYes

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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