Fishers Specialty Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FISHERS SPECIALTY SURGERY CENTER, LLC

Doing business as

OrthoAlliance of Indiana

Practice address

14300 E 138TH St
Fishers, IN 46037

Phone

(765) 284-7738

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Victor P Moran

Title

Executive Director/ Cfo

Phone

(765) 213-3761

Specialties & licenses 1

Addresses

Other names 1

• OrthoAlliance of Indiana Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Fishers Specialty Surgery CenterCCN 15C0001213

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Central Indiana Orthopedic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Muncie, IN
  • NPI 1447260575

  Member Of

  NPD member

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1861059818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "765-284-7738",
            "fax_number": "765-284-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 E 138TH ST",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46037",
            "telephone_number": "765-284-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHERS SPECIALTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ CFO",
        "authorized_official_telephone_number": "765-213-3761"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@ciocenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14300 E 138th St",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OrthoAlliance of Indiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fishers Family Physicians
• Fishers Family Vision Center Inc
• Fishers Operator, LLC
• Fishers Oral & Maxillofacial Surgery
• Fishers Pediatric Dentistry
• Fishers Urgent Care LLC (Fishers Urgnet Care)
• Erica Elizabeth Fisk, M.D.
• Derartu Fite
• Brianna Fleetwood
• Maningbe Fofana

• Ambulatory Surgical Clinic/Center in Fishers, IN
• Providers in Fishers, 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 May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.