Goshen Health Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GOSHEN HEALTH SURGERY CENTER, LLC

Practice address

1605 Winsted Dr
Goshen, IN 46526-4655

Phone

(574) 364-2970

NPI assigned

Dec 22, 2015

Organization subpart

No

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

Authorized official

Name

Cheri Sarasin, RN, BSN

Title

Administrative Director

Phone

(574) 364-4733

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Member of 1

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

• Goshen Health System Inc

  • Radiology Clinic/Center
  • Goshen, IN
  • NPI 1588190284

  Member Of

  NPD member

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Nafziger, M.D.

  • Infectious Disease Physician
  • Goshen, IN
  • NPI 1679545123
  NPD

Listed as

Goshen Health Surgery Center LLCCCN 15C0002002

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "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": "NO",
        "enumeration_date": "2015-12-22",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "SARASIN",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "ADMINISTRATIVE  DIRECTOR",
        "authorized_official_telephone_number": "574-364-4733",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goshen Cosmetic and Advanced Family Dentistry PC
• Goshen Family & Cosmetic Dentistry, Inc
• Goshen Family Physicians
• Goshen Health Centers, Inc.
• Goshen Health Centers, Inc.
• Goshen Health System Inc
• Goshen Health System Inc
• Goshen Health System Inc
• Goshen Health System Inc
• Goshen Health System Inc

• All providers in Goshen, IN
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.