SAGAMORE SURGICAL SERVICES, INC. (NPI# 1003816307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003816307 |
| Entity Type | Organization |
| Organization Name | SAGAMORE SURGICAL SERVICES, INC. |
| Practice Address |
2320 Concord Rd Ste B Lafayette IN 47909-2708 |
| Mailing Address |
Po Box 112 Muncie IN 47308-0112 |
| Practice Telephone | 7654747854 |
| Mailing Telephone | 7652840493 |
| Mailing Fax Number | 7652842434 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | MS. CAROL A BLANAR (ADMINISTRATOR, DON) |
| Authorized Official Telephone | 7654747854 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
IN | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SAGAMORE SURGICAL SERVICES, INC. | 2320 Concord Rd, Ste B, Lafayette, IN 47909-2710 |
| Street Address |
2320 CONCORD RD STE B |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47909-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164744637 | Audio Diagnostics II Inc | Hearing Aid Equipment | 2320 Concord Rd, Suite B, Lafayette, IN 47909-2710 | 2010-02-24 |
| 1275774945 | Christine A Campbell | Audiologist | 2320 Concord Rd, C/o Lafayette Ent, Lafayette, IN 47909-2710 | 2009-03-10 |
| 1316026545 | Peter J Hillsamer | Otolaryngology | 2320 Concord Rd, Lafayette, IN 47909-2708 | 2006-11-06 |
| 1720157951 | Lafayette Otolaryngology Associates, Inc | Otolaryngology | 2320 Concord Rd, Lafayette, IN 47909-2708 | 2006-11-06 |
| 1831278068 | Daniel R Berner | Otolaryngology | 2320 Concord Rd, Lafayette, IN 47909-2708 | 2006-11-06 |
| 1366527152 | Kelly Jo Todd | Audiologist | 2320 Concord Rd, Lafayette, IN 47909-2708 | 2006-10-27 |
| 1467412163 | Patrick R O'neil | Anesthesiology | 2320 Concord Rd, Suite C, Lafayette, IN 47909-2708 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285135244 | Glasswater Creek of Lafayette, LLC | Assisted Living Facility | 208 Beck Ln, Lafayette, IN 47909 | 2018-02-26 |
| 1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
| 1013394709 | Todd Hardin | Dentist | 2 Walter Scholer Drive, Lafayette, IN 47909 | 2015-05-01 |
| 1801296967 | Lacey Hintz | Occupational Therapy Assistant | 2308 Edgelea Dr, Lafayette, IN 47909 | 2014-08-26 |
| 1457691180 | Alicia A Duncan | Lactation Consultant, Non-RN | 207 Buckingham Drive, Lafayette, IN 47909 | 2013-02-16 |
| 1558646505 | Tammie Anne Shockley | Pharmacist | 2800 Old Us 231 S, Walgreens 10974, Lafayette, IN 47909 | 2011-10-20 |
| 1952553448 | Regina R Pilotte | Occupational Therapist | 3864 East 500 South, Lafayette, IN 47909 | 2008-10-16 |
| 1811182405 | Assisted Living Concepts Inc | Assisted Living Facility | 167 West 240 South, Lafayette, IN 47909 | 2007-09-07 |
| 1073716585 | Julia Ann Dillon | Counselor | 3554 Promenade Pkwy Ste E, Lafayette, IN 47909 | 2007-06-11 |
| 1639291503 | Winifred A. Landis | Pharmacist | 2806 Us 231 South, Lafayette, IN 47909 | 2007-04-04 |
| Find all providers in zip 47909 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1770096273 | Southpark Surgery Center, LLC | Clinic/Center | 901 Wilson St Ste A, Lafayette, LA 70503-2439 | 2017-11-07 |
| 1417294745 | Coal Creek Ambulatory Surgery Center PC | Clinic/Center | 130 Old Laramie Trl Bldg 4, Lafayette, CO 80026 | 2013-01-07 |
| 1598979734 | Jeffrey Craig Friedman | Clinic/Center | 911 Moraga Rd Ste 205, Lafayette, CA 94549-4500 | 2007-05-09 |
| 1174588099 | Iu Health Arnett Hospital, Inc | Clinic/Center | 1327 S 500 E, Lafayette, IN 47905-8718 | 2006-04-20 |
| 1912971326 | Advanced Surgery Center, LLC | Clinic/Center | 1400 Teal Rd, Suite 7, Lafayette, IN 47905-2463 | 2006-02-14 |
| 1124005558 | Surgicenter Group, LLC | Clinic/Center | 3733 Rome Dr, Lafayette, IN 47905-4490 | 2005-12-28 |
| 1154318376 | Lahaye Center for Advanced Eye Care of Lafayette, Inc. | Clinic/Center | 201 Rue Iberville, Suite 800, Lafayette, LA 70508-8503 | 2005-10-03 |
| 1659363844 | Laser & Surgery Center of Acadiana | Clinic/Center | 514 Saint Landry St, Lafayette, LA 70506-4626 | 2005-08-16 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.