ASSOCIATED SURGEONS AND PHYSICIANS, LLC (NPI# 1629529029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629529029 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED SURGEONS AND PHYSICIANS, LLC |
| Practice Address |
7920 W. Jefferson Blvd. Ste. 230 Fort Wayne IN 46804-4166 |
| Mailing Address |
2518 E Dupont Rd Fort Wayne IN 46825-1675 |
| Practice Telephone | 2604327600 |
| Practice Fax Number | 2604368498 |
| Mailing Telephone | 2604324400 |
| Mailing Fax Number | 2609696833 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Authorized Official Name | LILA BRAGER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2604324400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201338430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649720301 | Associated Surgeons and Physicians, LLC | Podiatrist | 1316 E 7th St, Suite E, Auburn, IN 46706-2538 | 2016-10-06 |
| 1447634449 | Associated Surgeons and Physicians, LLC | Pediatrics | 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825-1601 | 2015-07-20 |
| 1992097026 | Associated Surgeons and Physicians, LLC | Nurse Practitioner | 10002 Auburn Park Dr, Fort Wayne, IN 46825-2389 | 2011-05-09 |
| 1891029237 | Associated Surgeons and Physicians, LLC | Licensed Practical Nurse | 1275 Provident Dr, Warsaw, IN 46580-3265 | 2009-10-01 |
| 1487809588 | Associated Surgeons and Physicians, LLC | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2008-11-18 |
| 1083868269 | Associated Surgeons and Physicians, LLC | Pediatrics | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2008-11-14 |
| 1841444114 | Associated Surgeons and Physicians, LLC | Surgery | 11141 Parkview Plaza Dr, Suite 305, Fort Wayne, IN 46845-1713 | 2008-11-12 |
| Street Address |
7920 W. JEFFERSON BLVD. STE. 230 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879683 | Jonathan Vn Norton | Podiatrist | 8028 Carnegie Blvd Ste 400, Fort Wayne, IN 46804 | 2005-05-24 |
| 1881076065 | Diana Nguyen | Podiatrist | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2015-06-24 |
| 1275892952 | Ashley Marie Bojrab | Podiatrist | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2012-05-15 |
| 1912276361 | Jacqueline Monroe | Podiatrist | 7559 W Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2011-12-14 |
| 1851536023 | Jason David Dedoes | Podiatrist | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2008-12-02 |
| 1932360468 | David K. Wysong Dpm, PC | Podiatrist | 3012 E State Blvd, Fort Wayne, IN 46805-4737 | 2008-06-18 |
| 1013188291 | Gage Manning Caudell | Podiatrist | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2008-03-17 |
| 1255496352 | Reconstructive Foot & Ankle Specialists, LLC | Podiatrist | 7910 W Jefferson Blvd, Suite 300, Fort Wayne, IN 46804-4159 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853873 | Hoosier Foot & Ankle LLC | Podiatrist | 7412 Rockville Rd Ste A, Indianapolis, IN 46214-3098 | 2017-10-25 |
| 1952830499 | Britney Ann Wenig | Podiatrist | 10122 E 10th St Ste 250, Indianapolis, IN 46229-2663 | 2017-06-08 |
| 1952846776 | Veronica Alexis Kacmar-fedorchak | Podiatrist | 3215 Willowcreek Rd, Portage, IN 46368-5013 | 2017-01-03 |
| 1902359714 | Aamir Mahmood | Podiatrist | 10176 W 400 N Ste D, Michigan City, IN 46360-9009 | 2016-07-28 |
| 1437508116 | Brian K. Penrose | Podiatrist | 611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 | 2016-06-03 |
| 1558756023 | Sarah Standish | Podiatrist | 1001 Hadley Rd Ste 105, Mooresville, IN 46158-1884 | 2015-04-01 |
| 1467872796 | William Joseph Edward Adams | Podiatrist | 1 Memorial Sq Ste 2100, Greenfield, IN 46140-1380 | 2014-04-25 |
| 1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
| 1245679802 | Ansgar Steven Olsen | Podiatrist | 360 Plaza Dr Ste B, Columbus, IN 47201-2960 | 2013-06-17 |
| 1033557830 | Hardeep S Minhas | Podiatrist | 2308 Roosevelt Rd, Valparaiso, IN 46383-2773 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on ASSOCIATED SURGEONS AND PHYSICIANS, LLC.
| 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.