CERTIFIED SURGEONS, INC. (NPI# 1427196476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427196476 |
Entity Type | Organization |
Organization Name | CERTIFIED SURGEONS, INC. |
Practice Address |
1 S Broadway Peru IN 46970-2231 |
Practice Telephone | 7654727700 |
Practice Fax Number | 7654727700 |
Mailing Telephone | 7654727700 |
Mailing Fax Number | 7654727700 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2011-09-28 |
Authorized Official Name | TRISTAN VAUN STONGER (OWNER) |
Authorized Official Telephone | 7654727700 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
01031765A | IN | Ambulatory Health Care Facilities |
Street Address |
1 S BROADWAY |
City | PERU |
State | IN |
Zip Code | 46970-2231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134213796 | Tristan Vaun Stonger | Oral & Maxillofacial Surgery | 1 S Broadway, Peru, IN 46970-2231 | 2006-10-03 |
1649518747 | Clear Tones Hearing | Hearing Instrument Specialist | 1 S Broadway, Peru, IN 46970-2231 | 2013-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447896311 | Christina M Van Meter | Pharmacist | 930 W Main St., Peru, IN 46970 | 2019-11-26 |
1821554585 | Thomas Gilbert Reaves | Counselor | 5851 S. Us-31, Lot 47, Peru, IN 46970 | 2019-02-18 |
1104154863 | American Foot and Ankle Inc | Durable Medical Equipment & Medical Supplies | 632 West Main Street, Peru, IN 46970 | 2009-11-18 |
1629208251 | Rafik Farag | Family Medicine | 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 | 2009-07-16 |
1508076050 | Peggy L Wert | Occupational Therapy Assistant | 850 Matador Drive, Peru, IN 46970 | 2007-05-23 |
1972690634 | Sherif Elmasry | Pediatrics | 655 N Broadway, Peru, IN 46970 | 2006-10-06 |
1548357320 | Belinda Diane Stonger | Hearing Instrument Specialist | 1 S. Broadway, Peru, IN 46970 | 2006-10-05 |
1134214083 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 315 West Old Key Drive, Peru, IN 46970 | 2006-10-04 |
1710082409 | Thomas J Guthrie | Dentist | 5 West Logan Street, Peru, IN 46970 | 2006-09-14 |
1750921938 | Christina Russell | Counselor | 1000 N Broadway Ste A, Peru, IN 46970 | 2020-01-15 |
Find all providers in zip 46970 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Find all providers with the same taxonomy |
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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.