First Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FIRST AMBULATORY SURGERY CENTER

Practice address

107 S Washington St Ste a
Kokomo, IN 46901-4601

Phone

(765) 252-0828

Fax

(765) 471-3721

NPI assigned

Nov 21, 2023

Organization subpart

No

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

Authorized official

Name

Shazia Meraj Siddiqui, MDNPI 1629001680

Title

Owner

Phone

(765) 252-0828

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.

• Shazia Meraj Siddiqui, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lafayette, IN
  • NPI 1629001680
  NPD Authorized official

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1316712243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S WASHINGTON ST STE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014601",
            "telephone_number": "765-252-0828",
            "fax_number": "765-471-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S WASHINGTON ST STE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014601",
            "telephone_number": "765-252-0828",
            "fax_number": "765-471-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_middle_name": "MERAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-252-0828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashlee Ann Finicle, SLP
• First City Recovery Center
• Eric Michael Fiscus, MOT, OTR
• Helen Fiscus, LMFT
• Kari Michelle Fisher, MA
• Tracey Renae Fisher, MSW

• Ambulatory Surgical Clinic/Center in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.