ORTHOPAEDICS NORTHEAST PC NPI 1154380749

NPI Information

NPI: 1154380749
Provider Name: ORTHOPAEDICS NORTHEAST, PC

Doing Business As: SURGERY ONE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
7232 ENGLE RD
FORT WAYNE, IN
ZIP 46804
Phone: (260) 484-8551
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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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	50001907A	INDIANA	Yes

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

NPI Synchronization or Removal

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