Northwest Ambulatory Surgery, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHWEST AMBULATORY SURGERY, LLC

Doing business as

Chandana Surgery Center

Practice address

1700 Pointe Drive
Valparaiso, IN 46384

Phone

(219) 476-0404

Fax

(219) 548-8185

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By 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

Mrs. Maureen Kay Beekman, RHIT, CASC

Title

Executive Director

Phone

(219) 548-7483

Specialties & licenses 1

Addresses

Other names 1

• Chandana Surgery Center Doing business as

Locations

Practitioners 2

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.

• Ronald Edward Izynski I, DPM

  • Podiatrist
  • Valparaiso, IN
  • NPI 1922145945
  NPD (past)
• Kim Bolan Simic, MD

  • Psychiatry Physician
  • Crown Point, IN
  • NPI 1821116757
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326132879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 POINTE DRIVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46384",
            "telephone_number": "219-476-0404",
            "fax_number": "219-548-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 POINTE DRIVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46384",
            "telephone_number": "219-476-0404",
            "fax_number": "219-548-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST AMBULATORY SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEEKMAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-548-7483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RHIT, CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chandana Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Valparaiso, IN
• Providers in Valparaiso, 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 Aug 22, 2020; 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.