Active NPI
United Surgeons, LLC
- Institutional Pharmacy
- Mishawaka, IN
National Provider Identifier
1225441975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 60006215A
- Legal business name
- UNITED SURGEONS, LLC
- Practice address
- 4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1442 - Phone
- (574) 231-6199
- NPI assigned
- Jun 10, 2014
- Last updated
- Jun 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Allison Tucker, PHARMD, BCPS
- Title
- Director of Pharmacy
- Phone
- (574) 339-8969
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 60006215A | IN | Primary |
Addresses
Primary practice location
4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1442
Mailing address
4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150177 | Other | IN | MEDICARE PTAN |
| 200968790A | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- United Surgeons LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Unity Surgical Arts
- Ambulatory Surgical Clinic/Center
- Mishawaka, IN
- NPI 1891787321
-
dba Unity Infusion Mishawaka Campus
- Infusion Therapy Clinic/Center
- Mishawaka, IN
- NPI 1710771639
-
- Ambulatory Surgical Clinic/Center
- Mishawaka, IN
- NPI 1407801145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402617600000",
"number": "1225441975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 EDISON LAKES PKWY",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 EDISON LAKES PKWY",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465451442",
"telephone_number": "574-231-6199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED SURGEONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-13",
"status": "A",
"authorized_official_last_name": "TUCKER",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "574-339-8969",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD, BCPS"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "IN",
"license": "60006215A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "150177",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200968790A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mishawaka, IN
- Ashfaq A Turk, M.D.
- Uba Chinyere Udeh, M.D.
- Janet Ultreras
- United Anesthesiologists of Northern Indiana
- United Surgeons LLC (Unity Surgical Arts)
- United Surgeons, LLC (Unity Physicians Hospital)
- United Surgeons, LLC (Unity Physicians Hospital)
- United Surgeons, LLC (Unity Infusion Mishawaka Campus)
- Unity Hospitalist LLC
- Unity Surgical Arts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.