United Surgeons, LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

UNITED SURGEONS, LLC

Doing business as

Unity Physicians Hospital

Practice address

4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414

Phone

(574) 231-6800

Fax

(574) 231-6845

NPI assigned

Dec 4, 2020

Last updated

Dec 10, 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

Kelly Macken-Marble

Title

Ceo

Phone

(574) 231-6800

Specialties & licenses 2

Addresses

Other names 1

• Unity Physicians Hospital Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• United Surgeons, LLC

  dba Unity Physicians Hospital

  • General Acute Care Hospital
  • Mishawaka, IN
  • NPI 1518197011

  O20110330000083

  Same enrollment

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

• I-Spine, LLC

  dba Ortho & Sports Care

  • Orthopaedic Surgery Physician
  • Mishawaka, IN
  • NPI 1255506309

  Member Of

  NPD member
• Michiana Primary Care LLC

  dba Unity Family Medicine

  • Family Medicine Physician
  • Mishawaka, IN
  • NPI 1639480643

  Member Of

  NPD member
• Patel Family Medicine LLC

  dba Family Medicine Center of Plymouth

  • Clinic/Center
  • Plymouth, IN
  • NPI 1225348584

  Member Of

  NPD member
• Unity Hospitalist LLC

  • Hospitalist Physician
  • Mishawaka, IN
  • NPI 1437600541

  Member Of

  NPD member

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1376148593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451414",
            "telephone_number": "574-231-6800",
            "fax_number": "574-231-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 EDISON LAKES PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451414",
            "telephone_number": "574-231-6800",
            "fax_number": "574-231-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "MACKEN-MARBLE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-231-6800"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Physicians Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Uba Chinyere Udeh, M.D.
• Janet Ultreras
• United Anesthesiologists of Northern Indiana
• United Surgeons LLC (Unity Surgical Arts)
• United Surgeons, LLC
• United Surgeons, LLC (Unity Physicians Hospital)
• United Surgeons, LLC (Unity Infusion Mishawaka Campus)
• Unity Hospitalist LLC
• Unity Surgical Arts
• Unwind and Unravel LLC

• Anesthesiology Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.