Elkhart Clinic ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

04-003903-1 Issued in IN

Legal business name

ELKHART CLINIC ASC, LLC

Practice address

2117 W Lexington Ave
Elkhart, IN 46514-1423

Phone

(574) 296-3437

Fax

(574) 296-3447

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kevin R. Boyer

Title

Chief Executive Officer

Phone

(574) 296-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Abuzafar M. Arif, M.D.

  • Gastroenterology Physician
  • Elkhart, IN
  • NPI 1447253539
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1811992092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2997",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465152997",
            "telephone_number": "574-296-3437",
            "fax_number": "574-296-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 W LEXINGTON AVE",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141423",
            "telephone_number": "574-296-3437",
            "fax_number": "574-296-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHART CLINIC ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "574-296-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "04-003903-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263270A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eifler'S Elkhart Podiatry Clinic, LLC
• Bridget Rose Elijah, OTR
• Michaela Elijah, OTR
• Elite Emergency Physicians Inc
• Elkhart Audiology Rehab
• Elkhart Clinic, LLC
• Elkhart Community Schools
• Elkhart County Auditor
• Elkhart County Auditor
• Elkhart County Health Department

• Ambulatory Surgical Clinic/Center in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.