NPIMap

Organization Active NPI

Franciscan Alliance, Inc

  • Orthopaedic Surgery Physician
  • Mishawaka, IN
National Provider Identifier
1609463447
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FRANCISCAN ALLIANCE, INC
Practice address
1515 W Dragoon TRL
Mishawaka, IN 46544-4710
Phone
(574) 256-3935
NPI assigned
Dec 28, 2020
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FRANCISCAN ALLIANCE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Kevin Leahy
Title
President/Ceo
Phone
(574) 256-3935

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X

Addresses

Primary practice location

1515 W Dragoon TRL
Mishawaka, IN 46544-4710

Mailing address

1515 W Dragoon TRL
Mishawaka, IN 46544-4710
Phone (574) 256-3935

National Provider Directory

National Provider Directory
Tax ID family
Franciscan Health Indianapolis3 organizations share this tax ID, including this one
Part of
Franciscan Health Indianapolis

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1609463447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W DRAGOON TRL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465444710",
            "telephone_number": "574-256-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W DRAGOON TRL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465444710",
            "telephone_number": "574-256-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN ALLIANCE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN ALLIANCE, INC",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "574-256-3935"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.