Organization Active NPI

Goshen Health Surgery Center, LLC

Doing business as Parkview Goshen Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Goshen, IN
National Provider Identifier
1255796017
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
GOSHEN HEALTH SYSTEM INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCCCN 15C0002002
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2113180Goshen Health Surgery Center, LLC1605 Winsted Drive, Goshen, IN 46526Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Member of 1

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

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.

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

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.

Verify at the official NPI Registry.