The Centre PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

THE CENTRE PC

Practice address

611 E Douglas Rd Ste 108
Mishawaka, IN 46545-1464

Phone

(574) 968-3515

Fax

(574) 243-1141

NPI assigned

Nov 9, 2006

Last updated

Aug 26, 2021By 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

Lain R Downs

Title

Executive Director

Phone

(574) 968-3515

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Member organizations 1

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

• The Centre LLC

  • Ambulatory Surgical Clinic/Center
  • Mishawaka, IN
  • NPI 1144380163

  Member Of

  NPD member

Locations

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.

• Ronald K Downs, M.D., F.A.C.S.

  • Plastic Surgery Physician
  • Mishawaka, IN
  • NPI 1154328516
  Medicare reassignment Care Compare group NPD
• Rachel Jo Macias, M.D.

  • Plastic Surgery Physician
  • Mishawaka, IN
  • NPI 1811379852
  Medicare reassignment Care Compare group NPD
• Kellee Marie Hedges, FNP-BC

  • Family Nurse Practitioner
  • Mishawaka, IN
  • NPI 1639461817
  Medicare reassignment NPD
• Patrick J Viscardi, M.D.

  • Plastic Surgery Physician
  • Mishawaka, IN
  • NPI 1801893268
  Medicare reassignment NPD
• Susan H Silberman, OTR,CHT

  • Hand Occupational Therapist
  • Elkhart, IN
  • NPI 1740376847
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1568533990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD STE 108",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451464",
            "telephone_number": "574-296-9100",
            "fax_number": "574-243-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD STE 108",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451464",
            "telephone_number": "574-968-3515",
            "fax_number": "574-243-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "LAIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-968-3515"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laind@thecentrepc.com",
            "affiliation": "N",
            "endpointDescription": "The Centre, PC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "611 E Douglas Rd Ste 108",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465451464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Priya Mayur Thakkar, DPM
• The Behavior Project, LLC
• The Cataract Vision Institute LLC
• The Center for Hospice and Palliative Care, Inc (Center For Hospice Care)
• The Centre LLC
• The Children's Campus, Inc
• The Children's Campus, Inc.
• The Childrens Campus, Inc
• The Dental Center of Mishawaka PC
• The Front Porch (KBlumentritt LLC)

• Plastic Surgery Physician in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.