Associates in Surgery, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ASSOCIATES IN SURGERY, PC

Practice address

3630 Willowcreek Rd
Suite 3
Portage, IN 46368-5075

Phone

(219) 759-4577

Fax

(219) 759-3564

NPI assigned

Oct 19, 2006

Last updated

Aug 19, 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

Dr. Jac A Cooper, M.D.NPI 1760487425

Title

President

Phone

(219) 759-4577

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jac Alan Cooper Sr., M.D.

  • Surgical Critical Care Physician
  • Valparaiso, IN
  • NPI 1760487425
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1245312586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 WILLOWCREEK RD",
            "address_2": "SUITE 3",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685075",
            "telephone_number": "219-759-4577",
            "fax_number": "219-759-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 WILLOWCREEK RD",
            "address_2": "SUITE 3",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685075",
            "telephone_number": "219-759-4577",
            "fax_number": "219-759-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JAC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-759-4577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100209130B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Armstrong, LPT
• Andi Arnautovic, MD
• Amber L Artherhults, PTA
• Christon Arthur
• Associated Pediatricians, LLC
• Athletic and Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
• Atlantic Silverside Emergency Physicians LLC
• Alaba Ifeoluwa Awosika
• Azmot Logistics and Transportation LLC
• Anne Marie Babb, D.D.S.

• Surgery Physician in Portage, IN
• Providers in Portage, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.