Associated Surgeons and Physicians, LLC
Organization Active NPI Obstetrics & Gynecology Physician · Fort Wayne, IN
NPI 1487809588 · NPPES record last updated Jun 30, 2016
Key facts
- NPI
- 1487809588
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ASSOCIATED SURGEONS AND PHYSICIANS, LLC
- Practice address
- 2518 E Dupont Rd
Fort Wayne, IN 46825-1675 - Phone
- (260) 432-4400
- Fax
- (260) 969-6898
- NPI assigned
- Nov 18, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Authorized official
- Name
- Ms. Trish Warren
- Title
- Cfo
- Phone
- (260) 432-4400
Other NPIs on the same Medicare enrollment 3
Practitioners 1
-
Nina P Levenda, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090316000381 | IN | Part B Supplier - Clinic/Group Practice | 2668539818 |
Receives reassigned benefits from 30 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Wayne, IN; Warsaw, IN |
National Provider Directory
- Part of
- Associated Surgeons and
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | IN | Yes | |
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
207VF0040X | IN | ||
| Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician |
2088F0040X |
Addresses
Primary practice location
2518 E Dupont Rd
Fort Wayne, IN 46825-1675
Mailing address
2518 E Dupont Rd
Fort Wayne, IN 46825-1675
Phone (260) 432-4400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FP0976 | Other | IN | RAILROAD |
Other names
- Womens Health Advantage
Other providers in Fort Wayne, IN
- 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
- Associated Surgeons and Physicians, LLC
- Astrum Wellness and Recovery LLC
- Jennifer Asuquo
All providers in Fort Wayne, IN · Obstetrics & Gynecology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.