Allied Physicians Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

06-010984-1 Issued in IN

Legal business name

ALLIED PHYSICIANS SURGERY CENTER, LLC

Practice address

53990 Carmichael Dr
Suite 100
South Bend, IN 46635-1582

Phone

(574) 243-9700

Fax

(574) 247-3300

NPI assigned

Oct 31, 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

Ms. Thomasine Harrison, CPA

Title

Cfo

Phone

(574) 247-3322

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Allied Physicians Surgery Center, LLC

  • Anesthesiology Physician
  • South Bend, IN
  • NPI 1669032942

  3971609702

  Same PAC ID

Listed as

Allied Physicians Surgery Center LLCCCN 15C0001090

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Allied Physicians Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Allied Physicians Surgery Center, LLC

  • Anesthesiology Physician
  • South Bend, IN
  • NPI 1669032942
  NPD tax ID

Practitioners 5

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.

• Christopher R Balint, D.O.

  • Orthopaedic Surgery Physician
  • South Bend, IN
  • NPI 1609858703
  NPD
• Sam Fuller, MD

  • Plastic and Reconstructive Surgery Physician
  • South Bend, IN
  • NPI 1649569484
  NPD
• Adelbert J Mencias, MD

  • Orthopaedic Hand Surgery Physician
  • South Bend, IN
  • NPI 1437131489
  NPD
• Andrew M Christ, CRNA

  • Certified Registered Nurse Anesthetist
  • Melrose Park, IL
  • NPI 1487123832
  NPD (past)
• Jane Shaw, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Joseph, MI
  • NPI 1972169688
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386721249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53990 CARMICHAEL DR",
            "address_2": "SUITE 100",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351582",
            "telephone_number": "574-243-9700",
            "fax_number": "574-247-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53990 CARMICHAEL DR",
            "address_2": "SUITE 100",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351582",
            "telephone_number": "574-243-9700",
            "fax_number": "574-247-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED PHYSICIANS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "THOMASINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "574-247-3322",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "06-010984-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allied Physicians of Michiana, LLC (General & Vascular Surgery)
• Allied Physicians of Michiana, LLC (Northern Indiana Center for Pelvic Health & Gynecology)
• Allied Physicians of Michiana, LLC (Urology Associates of South Bend)
• Allied Physicians of Michiana, LLC (Michiana Ob/GYN)
• Allied Physicians of Michiana, LLC (OB Gyn Associates of Northern IN)
• Allied Physicians Surgery Center, LLC
• Allstar Home Health Care
• Jahna Marie Almaguer
• Danilo Almeida, DDS
• Lynn Alsatie, MD

• Ambulatory Surgical Clinic/Center in South Bend, IN
• Providers in South Bend, 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.
• 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.