Three Rivers Surgical Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

THREE RIVERS SURGICAL ASSOCIATES, LLC

Practice address

2510 E Dupont Rd
Suite 210
Fort Wayne, IN 46825-1600

Phone

(260) 969-2990

Fax

(260) 969-2991

NPI assigned

May 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mary Ann Meo

Title

DO

Phone

(260) 969-2990

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mary Ann Meo, DO, FACS, PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa M Schomogyi, MD

  • Surgery Physician
  • Fort Wayne, IN
  • NPI 1700856937
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1558314039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 10653",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46853",
            "telephone_number": "260-969-1950",
            "fax_number": "260-918-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E DUPONT RD",
            "address_2": "SUITE 210",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251600",
            "telephone_number": "260-969-2990",
            "fax_number": "260-969-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "MEO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "260-969-2990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200536920A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE1356",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Ann Meo, DO, FACS, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Three Rivers Anesthesia, LLC
• Three Rivers Dermatology, LLC (Three Rivers Dermatology)
• Three Rivers Medical Associates, LLC
• Three Rivers Radiology, LLC
• Three Rivers Surgical Associates
• Three Rivers Therapy LLC
• Threelovebugs, LLC (Lice Clinics of America Ft. Wayne)
• Thrive Therapy and Integrated Wellness, LLC
• Ashley Thrush
• Morgan Thrush

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.