NPIMap

Organization Active NPI

Warsaw Health System, LLC

Doing business as Warsaw Surgical Specialties

  • Surgery Physician
  • Warsaw, IN
National Provider Identifier
1699887885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WARSAW HEALTH SYSTEM, LLC
Doing business as
Warsaw Surgical Specialties
Practice address
1000 Med Park Dr
Suite C
Warsaw, IN 46580-3285
Phone
(574) 372-5823
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rebecca Hurley
Title
Senior Vice President
Phone
(214) 473-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

1000 Med Park Dr
Suite C
Warsaw, IN 46580-3285

Mailing address

PO Box 996
Warsaw, IN 46581-0996
Phone (574) 372-5823

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidIN

Other names 1

  • Warsaw Surgical Specialties Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Med Park Dr
Ste C
Warsaw, IN 46580
Phone (574) 267-8728

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699887885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 996",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465810996",
            "telephone_number": "574-372-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MED PARK DR",
            "address_2": "SUITE C",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803285",
            "telephone_number": "574-372-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARSAW HEALTH SYSTEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "214-473-3993"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warsaw Surgical Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.