Indiana Surgical Specialists, Llc

LBN: Indiana Surgical Specialists, Llc
Indiana Surgical Specialists, Llc is an health care organization with primary practice located at 11141 Parkview Plaza Dr Ste 305 , Fort Wayne IN 46845-1715. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Indiana Surgical Specialists, Llc can be contacted via phone (260) 484-9611, or through Hively, Richard via phone (260) 484-9612.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Ste 305 Fort Wayne IN 46845-1715
Phone: (260) 484-9611
Fax: (260) 484-1004
Website:
Map and Directions
Authorized official contact:
Name: Hively, Richard
Phone: (260) 484-9612

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1528044625
LBN Legal business name Indiana Surgical Specialists, Llc
DBA Doing business as
Authorized official Hively, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2005
Last updated Jul 29th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528044625 NPPES
Indiana MEDICAID 100055660A
Indiana MEDICAID 0270371
Indiana Other CA7015

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