The Centre LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE CENTRE LLC

Practice address

611 E Douglas Rd Ste 108a
Mishawaka, IN 46545-1464

Phone

(574) 296-9100

Fax

(574) 243-1141

NPI assigned

Dec 11, 2006

Last updated

Aug 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lain R Downs

Title

Executive Director

Phone

(574) 296-9100

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

The Centre LLCCCN 15C0001176

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Centre PC

  • Plastic Surgery Physician
  • Mishawaka, IN
  • NPI 1568533990

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald K Downs, M.D., F.A.C.S.

  • Plastic Surgery Physician
  • Mishawaka, IN
  • NPI 1154328516
  NPD
• Rachel Jo Macias, M.D.

  • Plastic Surgery Physician
  • Mishawaka, IN
  • NPI 1811379852
  NPD (past)
• Patrick J Viscardi, M.D.

  • Plastic Surgery Physician
  • Mishawaka, IN
  • NPI 1801893268
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1144380163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD STE 108A",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451464",
            "telephone_number": "574-296-9100",
            "fax_number": "574-243-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD STE 108A",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451464",
            "telephone_number": "574-296-9100",
            "fax_number": "574-243-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "LAIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-296-9100"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laind@thecentrepc.com",
            "affiliation": "N",
            "endpointDescription": "The Centre, LLC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "611 E Douglas Rd Ste 108A",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465451464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jamie Thacker
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• The Cataract Vision Institute LLC
• The Center for Hospice and Palliative Care, Inc (Center For Hospice Care)
• The Centre PC
• The Children's Campus, Inc
• The Children's Campus, Inc.
• The Childrens Campus, Inc
• The Dental Center of Mishawaka PC

• Ambulatory Surgical Clinic/Center in Mishawaka, IN
• Providers in Mishawaka, 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 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.