Lagrange Surgery Center, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LAGRANGE SURGERY CENTER, LLC

Practice address

2500 Ventura Way
Lagrange, IN 46761

Phone

(574) 296-6452

Fax

(574) 296-6484

NPI assigned

Apr 7, 2009

Last updated

Apr 7, 2009By 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

Haroon Ansari-Naz, PHD

Title

Executive Director/Vice President

Phone

(517) 202-7174

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Peter C Fretz, MD

  • Urology Physician
  • Elkhart, IN
  • NPI 1538148838
  NPD (past)

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1235372277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARCADE AVE STE 100",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142478",
            "telephone_number": "574-296-6452",
            "fax_number": "574-296-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 VENTURA WAY",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "46761",
            "telephone_number": "574-296-6452",
            "fax_number": "574-296-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "ANSARI-NAZ",
        "authorized_official_first_name": "HAROON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "517-202-7174",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lagrange Chiropractic Offices, PC
• Lagrange County Council on Aging
• Lagrange County Dba Lagrange County Health Department (LaGrange County Health Department)
• Lagrange County Home Health Therapy Services,PC
• Lagrange Family Dentistry LLC
• Timothy Lagro, MA
• Lakeland School Corporation
• Stacey Lang, DPT
• Emily E. Lehman, MSED
• Stephen A Leininger, MA

• Multi-Specialty Clinic/Center in Lagrange, IN
• Providers in Lagrange, IN by specialty
• Multi-Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.