Organization Active NPI

Associated Surgeons and Physicians, LLC

  • Foot & Ankle Surgery Podiatrist
  • Auburn, IN
National Provider Identifier
1649720301
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Practice address
1316 E 7TH St
Suite E
Auburn, IN 46706-2538
Phone
(260) 432-7600
Fax
(260) 436-8498
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Lila Brager
Title
Credentialing Coordinator
Phone
(260) 432-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1316 E 7TH St
Suite E
Auburn, IN 46706-2538

Mailing address

2518 E Dupont Rd
Fort Wayne, IN 46825-1675
Phone (260) 432-4400

Other identifiers 1

IdentifierTypeStateIssuer
201338430MedicaidIN

National Provider Directory

National Provider Directory

Locations

1316 E 7th St
#1
Auburn, IN 46706
Phone (260) 925-3045

1316 E 7th St
Ste E
Auburn, IN 46706
Phone (260) 432-7600

1316 E 7th St
Ste G
Auburn, IN 46706
Phone (260) 432-7600

333 N Oak St
Ste B
Columbia City, IN 46725
Phone (260) 244-6191

815 High St
Ste E
Decatur, IN 46733

3124 E State Blvd
#3F
Fort Wayne, IN 46805
Phone (260) 482-1681

700 Broadway
Fl 2
Fort Wayne, IN 46802
Phone (260) 424-9000

2542 E Dupont Rd
Ste 200
Fort Wayne, IN 46825

7900 W Jefferson Blvd
Ste 202
Fort Wayne, IN 46804
Phone (260) 424-9000

2003 Stults Rd
#120
Huntington, IN 46750
Phone (260) 454-0425

2003 Stults Rd
#210
Huntington, IN 46750
Phone (260) 355-3960

Practitioners & affiliated clinicians

Practitioners 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1649720301",
    "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": "260-969-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 E 7TH ST",
            "address_2": "SUITE E",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467062538",
            "telephone_number": "260-432-7600",
            "fax_number": "260-436-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED SURGEONS AND PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "BRAGER",
        "authorized_official_first_name": "LILA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "260-432-4400"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201338430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.