Active NPI
Goshen Health Surgery Center, LLC
Doing business as Parkview Goshen Surgery Center
- Ambulatory Surgical Clinic/Center
- Goshen, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GOSHEN HEALTH SURGERY CENTER, LLC
- Doing business as
- Parkview Goshen Surgery Center
- Practice address
- 1605 Winsted Dr
Goshen, IN 46526-4655 - Phone
- (574) 364-2970
- NPI assigned
- Dec 22, 2015
- Last updated
- Oct 26, 2026
- Organization subpart
- Yes
- Parent organization
- GOSHEN HEALTH SYSTEM INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa M. Wine
- Title
- Cfo
- Phone
- (574) 364-2665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1605 Winsted Dr
Goshen, IN 46526-4655
Mailing address
1605 Winsted Dr
Goshen, IN 46526-4655
Phone (574) 364-2970
Other names 1
- Parkview Goshen Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160301002064 | IN | Part B Supplier - Ambulatory Surgical Center | 4284939125 | Practice locations: Goshen, IN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Goshen Health Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2113180 | Goshen Health Surgery Center, LLC | Certificate of waiver | May 16, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Goshen Physicians Diagnostics
- Radiology Clinic/Center
- Goshen, IN
- NPI 1588190284
Member Of
Practitioners & affiliated clinicians
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.
-
- Infectious Disease Physician
- Goshen, IN
- NPI 1679545123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792972800000",
"number": "1255796017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 WINSTED DR",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465264655",
"telephone_number": "574-364-2970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 WINSTED DR",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465264655",
"telephone_number": "574-364-2970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOSHEN HEALTH SURGERY CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GOSHEN HEALTH SYSTEM INC",
"enumeration_date": "2015-12-22",
"last_updated": "2026-10-26",
"certification_date": "2026-10-26",
"status": "A",
"authorized_official_last_name": "WINE",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "574-364-2665"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkview Goshen Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Goshen, IN
- Goshen Cosmetic and Advanced Family Dentistry PC (Stutsman Dentistry)
- Goshen Family & Cosmetic Dentistry, Inc (Goshen Family Dentistry)
- Goshen Family Physicians
- Goshen Health Centers, Inc.
- Goshen Health Centers, Inc.
- Goshen Health System Inc (Goshen Physicians)
- Goshen Health System Inc (Parkview Goshen Health)
- Goshen Health System Inc (Goshen Physicians)
- Goshen Health System Inc (Goshen Physicians Diagnostics)
- Goshen Health System Inc (Fairfield Community Schools Onsite Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.