MGFW Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MGFW SURGERY CENTER, LLC

Practice address

7916 W. Jefferson Blvd.
Ste 100
Fort Wayne, IN 46804

Phone

(260) 432-2297

Fax

(260) 434-6420

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joel R Sauer

Title

Ceo

Phone

(260) 432-2297

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1114950292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2594",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468012594",
            "telephone_number": "260-432-2297",
            "fax_number": "260-434-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 W. JEFFERSON BLVD.",
            "address_2": "STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-432-2297",
            "fax_number": "260-434-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGFW SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-432-2297",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RAILROAD",
            "identifier": "P00220062",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000372266",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC",
            "identifier": "68579",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E Meyer, NP
• Michelle Meyer
• Mitchell Kory Meyer, AT, ATC
• Tara Marie Meyer, DPT
• Holly Meyers
• Nda Bukhosi Mhlophe, M.D.
• Michael J Phend, MD
• Michael J. Bangert O.D. Inc.
• Michael O Young OD PC
• Emily K Michael

• Ambulatory Surgical Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, 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 Mar 24, 2008; 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.