NPIMap

Organization Active NPI

Logansport Surgical Assoc PC

  • Surgery Physician
  • Logansport, IN
National Provider Identifier
1871565283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
50001296A Issued in IN
Legal business name
LOGANSPORT SURGICAL ASSOC PC
Practice address
820 Fulton St
Logansport, IN 46947
Phone
(574) 722-3636
Fax
(574) 732-0754
NPI assigned
Feb 2, 2006
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
Todd Steven Weinstein, MDNPI 1760454177
Title
President
Phone
(574) 722-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 50001296A IN Primary

Addresses

Primary practice location

820 Fulton St
Logansport, IN 46947

Mailing address

PO Box 299
820 Fulton St
Logansport, IN 46947
Phone (574) 722-3636

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871565283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "address_2": "820 FULTON ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "46947",
            "telephone_number": "574-722-3636",
            "fax_number": "574-732-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 FULTON ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "46947",
            "telephone_number": "574-722-3636",
            "fax_number": "574-732-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGANSPORT SURGICAL ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-722-3636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "50001296A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, 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.