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ASSOCIATED SURGEONS AND PHYSICIANS LLC NPI 1447634449


NPI Information

NPI: 1447634449
Provider Name: ASSOCIATED SURGEONS AND PHYSICIANS, LLC

Doing Business As: DUPONT PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 15D2023182

Address:
2510 E DUPONT RD
SUITE 200
FORT WAYNE, IN
ZIP 46825
Phone: (260) 432-4913
Get Directions

ASSOCIATED SURGEONS AND PHYSICIANS, LLC is a pediatrics in Fort Wayne, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ASSOCIATED SURGEONS AND PHYSICIANS, LLC NPI is 1447634449. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dupont Pediatrics.

The provider's business location address is:

2510 E DUPONT RD
SUITE 200
FORT WAYNE, IN
ZIP 46825-601
Phone: (260) 432-4913
Fax: (260) 969-6832

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 15D2023182 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2015 and was last updated on 7/18/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics01065437AINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201338430QMEDICAIDINDIANA
2259990MEDICARE PININDIANA

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

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