Associated Surgeons and Physicians, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01065437A Issued in IN

Legal business name

ASSOCIATED SURGEONS AND PHYSICIANS, LLC

Doing business as

Dupont Pediatrics

Practice address

2510 E Dupont Rd
Suite 200
Fort Wayne, IN 46825-1601

Phone

(260) 432-4913

Fax

(260) 969-6832

NPI assigned

Jul 20, 2015

Last updated

Jul 18, 2016By 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

Trish Warren

Title

Cfo

Phone

(260) 432-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dupont Pediatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Associated Surgeons & Physicians, LLC

  dba Center for Colon & Rectal Care

  • Colon & Rectal Surgery Physician
  • Fort Wayne, IN
  • NPI 1740689207

  O20090316000381

  Same enrollment
• Associated Surgeons and Physicians, LLC

  • Obstetrics & Gynecology Physician
  • Fort Wayne, IN
  • NPI 1083868269

  O20090316000381

  Same enrollment
• Associated Surgeons and Physicians, LLC

  dba Womens Health Advantage

  • Obstetrics & Gynecology Physician
  • Fort Wayne, IN
  • NPI 1487809588

  O20090316000381

  Same enrollment

Member organizations 2

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

• Associated Surgeons and Physicians, LLC

  dba Indiana Surgical Specialists

  • Surgery Physician
  • Fort Wayne, IN
  • NPI 1841444114

  Member Of

  NPD member
• Associated Surgeons and Physicians, LLC

  dba Dupont Internal Medicine

  • Internal Medicine Physician
  • Fort Wayne, IN
  • NPI 1992097026

  Member Of

  NPD member

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1447634449",
    "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": "2510 E DUPONT RD",
            "address_2": "SUITE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251601",
            "telephone_number": "260-432-4913",
            "fax_number": "260-969-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED SURGEONS AND PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2016-07-18",
        "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": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01065437A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201338430Q",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dupont Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Associated Imaging, Inc. (The Imaging Center)
• Associated Surgeons & Physicians, LLC (Center for Colon & Rectal Care)
• Associated Surgeons and Physicians (Women's Healht Advantage)
• Associated Surgeons and Physicians LLC (Indiana Wound Care)
• Associated Surgeons and Physicians, LLC
• Associated Surgeons and Physicians, LLC (Womens Health Advantage)
• Associated Surgeons and Physicians, LLC
• Associated Surgeons and Physicians, LLC (Indiana Surgical Specialists)
• Associated Surgeons and Physicians, LLC (Dupont Internal Medicine)
• Astrum Wellness and Recovery LLC

• Pediatrics Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.