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ALLIED PHYSICIANS OF MICHIANA LLC NPI 1508191768


NPI Information

NPI: 1508191768
Provider Name: ALLIED PHYSICIANS OF MICHIANA, LLC

Doing Business As: GENERAL & VASCULAR SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
621 MEMORIAL DR
SUITE 302
SOUTH BEND, IN
ZIP 46601
Phone: (574) 236-1888
Get Directions

ALLIED PHYSICIANS OF MICHIANA, LLC is a surgery in South Bend, IN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ALLIED PHYSICIANS OF MICHIANA, LLC NPI is 1508191768. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As General & Vascular Surgery.

The provider's business location address is:

621 MEMORIAL DR
SUITE 302
SOUTH BEND, IN
ZIP 46601-063
Phone: (574) 236-1888
Fax: (574) 236-1887

The provider's authorized official is Shery A. Roussarie .
The authorized official title is Ceo and has the following contact phone number (574) 251-2100.

The enumeration date for this NPI number is 10/6/2009 and was last updated on 1/10/2017.


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
1208600000XSurgeryYes

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
1200962980VMEDICAIDINDIANA
2200962980GMEDICAIDINDIANA
3200962980NMEDICAIDINDIANA
4200962980HMEDICAIDINDIANA
5200962980WMEDICAIDINDIANA
6264180MEDICARE 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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