INDIANA AMBULATORY SURGICAL ASSOCIATES, INC (NPI# 1043204688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043204688 |
| Entity Type | Organization |
| Organization Name | INDIANA AMBULATORY SURGICAL ASSOCIATES, INC |
| Practice Address |
841 Hospital Rd Indiana PA 15701-3620 |
| Practice Telephone | 7244651922 |
| Practice Fax Number | 7244652636 |
| Mailing Telephone | 7244651922 |
| Mailing Fax Number | 7244652636 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | DEBORAH ANN BORBONUS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7244651922 |
| Is Organization Subpart | Y |
| Parent Organization Name | INDIANA REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10561500 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017211930002 | 05 |
| Street Address |
841 HOSPITAL RD |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548875 | James Alan Nesper | Ophthalmology | 841 Hospital Rd, Ste 2100, Indiana, PA 15701-3635 | 2005-06-20 |
| 1891099636 | Indiana Regional Medical Center - Crna-iasa | Anesthesiology | 841 Hospital Rd, Indiana, PA 15701-3620 | 2011-01-10 |
| 1801000435 | Nazneen R. Billimoria | Surgery | 841 Hospital Rd, Suite 3100, Indiana, PA 15701-3620 | 2007-05-10 |
| 1578570057 | Thomas Jeffrey Seifert | Pharmacist | 841 Hospital Rd, Diamond Drugs, Indiana, PA 15701-3564 | 2006-08-01 |
| 1063446649 | Peggy Hill | Nurse Anesthetist, Certified Registered | 841 Hospital Rd, Indiana, PA 15701-3620 | 2006-07-10 |
| 1417981085 | Michele J Johnston | Nurse Anesthetist, Certified Registered | 841 Hospital Rd, Indiana, PA 15701-3620 | 2006-07-10 |
| 1760416333 | Mary A Miller | Nurse Anesthetist, Certified Registered | 841 Hospital Rd, Indiana, PA 15701-3620 | 2006-07-10 |
| 1013940402 | Dialysis Clinic Inc. | Clinic/Center | 841 Hospital Rd, Suite 3500, Indiana, PA 15701-3620 | 2006-07-08 |
| 1528014909 | Mark E. Boykiw, M.d. | Specialist | 841 Hospital Rd, Suite 3100, Indiana, PA 15701-3620 | 2006-05-26 |
| 1548215353 | Leonard Eric Maliver | Urology | 841 Hospital Rd, Suite 2400, Indiana, PA 15701-3620 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
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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.