ASSOCIATED SURGEONS AND PHYSICIANS, LLC (NPI# 1487809588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487809588 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED SURGEONS AND PHYSICIANS, LLC |
| Other Organization Name | WOMENS HEALTH ADVANTAGE |
| Practice Address |
2518 E Dupont Rd Fort Wayne IN 46825-1675 |
| Practice Telephone | 2604324400 |
| Practice Fax Number | 2609696898 |
| Mailing Telephone | 2604324400 |
| Mailing Fax Number | 2609696898 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | MS. TRISH WARREN (CFO) |
| Authorized Official Telephone | 2604324400 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASSOCIATED SURGEONS AND PHYSICIANS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
IN | Allopathic & Osteopathic Physicians | |
| N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207V00000X | Obstetrics & Gynecology | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD | FP0976 | 01 |
| Other Name | Type Code |
|---|---|
| Womens Health Advantage | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629529029 | Associated Surgeons and Physicians, LLC | Podiatrist | 7920 W. Jefferson Blvd., Ste. 230, Fort Wayne, IN 46804-4166 | 2016-10-20 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ASSOCIATED SURGEONS AND PHYSICIANS, LLC | 2518 E Dupont Rd, Fort Wayne, IN 46825 |
| Street Address |
2518 E DUPONT RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619962198 | Vicki L Bahls | Registered Nurse | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2005-09-12 |
| 1063931137 | Laura Dirig | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2017-09-11 |
| 1639601156 | Whitney Friesen Nisley | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2017-04-03 |
| 1861935918 | Crystal Webb | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-11-22 |
| 1285097634 | Michelle Durrant | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2016-04-02 |
| 1922486885 | Emelia Winston | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2015-05-12 |
| 1437575065 | Casey Norton | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2014-03-06 |
| 1275809311 | Emmary Samel Butler | Obstetrics & Gynecology | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2012-03-22 |
| 1518273887 | Cara E. Stansifer | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2010-08-25 |
| 1326373192 | Deborah Marie Spurr | Nurse Practitioner | 2518 E Dupont Rd, Fort Wayne, IN 46825-1675 | 2009-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609056779 | Allen County Ob-gyn Associates, PC | Obstetrics & Gynecology | 800 Broadway Ste 315, Fort Wayne, IN 46802-2149 | 2007-11-06 |
| 1598806937 | Obstetrics and Gynecology Associates of Fort Wayne PC | Obstetrics & Gynecology | 7802 W Jefferson Blvd, Fort Wayne, IN 46804-4138 | 2007-02-09 |
| 1124063102 | Judy L. Zacher | Obstetrics & Gynecology | 3974 New Vision Drive, Fort Wayne, IN 46845-1712 | 2006-06-16 |
| 1275515801 | Jyothirmai K Reddy | Obstetrics & Gynecology | 7802 W. Jefferson Blvd, Fort Wayne, IN 46804 | 2005-11-18 |
| 1457341182 | H N Ramaprakash | Obstetrics & Gynecology | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-10-25 |
| 1639168404 | Kendra T Karner | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2005-10-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1588659064 | Tracy L Bellavance | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-09-12 |
| 1306838321 | Althea J. Jackson | Obstetrics & Gynecology | 2510 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1600 | 2005-08-16 |
| 1255332664 | Lora Overton | Obstetrics & Gynecology | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2005-08-09 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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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.