Advanced Surgical Associates LLC
Organization Active NPI Surgery Physician · Shelbyville, IN
NPI 1891923652 · NPPES record last updated Mar 30, 2011
Key facts
- NPI
- 1891923652
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ADVANCED SURGICAL ASSOCIATES LLC
- Practice address
- 30 W Rampart St
Ste 230
Shelbyville, IN 46176-8846 - Phone
- (317) 392-0222
- Fax
- (317) 392-0722
- NPI assigned
- Jun 30, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Tiong O Pouw, MD
- Title
- Owner
- Phone
- (317) 392-0222
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
30 W Rampart St
Ste 230
Shelbyville, IN 46176-8846
Mailing address
PO Box 627
Shelbyville, IN 46176-0627
Phone (317) 392-0222
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- Fidelity Ageh Akonji
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- Jason Aldridge
- Kasey Christina Alfrey
All providers in Shelbyville, IN · Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.