Surgery Centers of NW Indiana LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTERS OF NW INDIANA LLC

Practice address

415 Springwood Dr
Carmel, IN 46032-7935

Phone

(317) 385-3051

NPI assigned

Aug 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marissa Y Hughes, RN

Title

Director of Operations

Phone

(317) 385-3051

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1003535717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 SEA TURTLE PL",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723351",
            "telephone_number": "317-385-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SPRINGWOOD DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327935",
            "telephone_number": "317-385-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTERS OF NW INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "317-385-3051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodjawan Supakul, M.D.
• Supporting Angels LLC
• Alexandra Quast Surgener, PSYD
• Surgery Center Anesthesiologists, LLC
• Surgery Center of Indianapolis LLC
• Kunal Suri, MD
• Taylor Twiggs Sutter, MD
• Alexandra L Swackhamer, LMHC
• Amanda Swain
• Jana D Swanson, NP

• Ambulatory Surgical Clinic/Center in Carmel, IN
• Providers in Carmel, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.