Associated Surgeons and Physicians LLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

ASSOCIATED SURGEONS AND PHYSICIANS LLC

Practice address

700 Broadway FL 2
Fort Wayne, IN 46802-1402

Phone

(260) 424-9000

Fax

(260) 425-3029

NPI assigned

Oct 24, 2012

Organization subpart

Yes

Parent organization

ASSOCIATED SURGEONS AND PHYSICIANS, LLCAs reported in NPPES

Name

Trish Warren

Title

Cfo

Phone

(260) 432-4400

• Indiana Wound Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2016.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1386997690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251675",
            "telephone_number": "260-432-4400",
            "fax_number": "260-969-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BROADWAY FL 2",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468021402",
            "telephone_number": "260-424-9000",
            "fax_number": "260-425-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED SURGEONS AND PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASSOCIATED SURGEONS AND PHYSICIANS, LLC",
        "enumeration_date": "2012-10-24",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "260-432-4400"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201338430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indiana Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Associated Behavioral Health Services Inc
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• Associated Surgeons & Physicians, LLC
• Associated Surgeons and Physicians
• Associated Surgeons and Physicians, LLC
• Associated Surgeons and Physicians, LLC
• Associated Surgeons and Physicians, LLC
• Associated Surgeons and Physicians, LLC
• Associated Surgeons and Physicians, LLC

• All providers in Fort Wayne, IN
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.