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NPI Code Detail

MEDICARE: ASSOCIATED SURGEONS AND PHYSICIANS

MEDICARE: ASSOCIATED SURGEONS AND PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4CC2836OTHERINRAIL ROAD MEDICARE
5CH3541OTHERINRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518946557
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATED SURGEONS AND PHYSICIANS
Provider Business Mailing Address
First Line : 2512 E DUPONT RD
Second Line : SUITE 200
City : FORT WAYNE
State : IN
Zip : 46825-1675
Country : US
Telephone Number : 260-432-4400
Fax Number : 260-969-6898
Provider Business Practice Location Address
First Line : 2512 E DUPONT RD
Second Line : SUITE 200
City : FORT WAYNE
State : IN
Zip : 46825-1675
Country : US
Telephone Number : 260-432-4400
Fax Number : 260-969-6898
Authorized Official
Title or Position : PRESIDENT
Name : SCOTT C BOYD
Credential : MD
Telephone Number : 260-432-4400
Provider Enumeration Date : 01/10/2006
Last Update Date : 07/01/2010

Similar Medicare Providers

1619962198 — VICKI L BAHLS NP
Practice Location Address:
2518 E DUPONT RD
FORT WAYNE, IN
46825-1675
Practice Phone: 260-432-4400
Practice Fax: 260-969-6898
1245220854 — ANDREA F YODER CNM
Practice Location Address:
2518 E DUPONT RD
FORT WAYNE, IN
46825-1675
Practice Phone: 260-432-4400
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1942290598 — CORTNEY L SCHWARTZ MD
Practice Location Address:
2518 E DUPONT RD
FORT WAYNE, IN
46825-1675
Practice Phone: 260-432-4400
Practice Fax: 260-969-6898
1801886460 — MATTHEW J SPRUNGER MD
Practice Location Address:
2518 E DUPONT RD
FORT WAYNE, IN
46825-1675
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Practice Fax: 260-969-6898
1891785200 — MARIANNE WATKINS MD
Practice Location Address:
2518 E DUPONT RD
FORT WAYNE, IN
46825-1675
Practice Phone: 260-432-4400
Practice Fax: 260-969-6898
1467442889 — THOMAS C WHEELER MD
Practice Location Address:
2518 E DUPONT RD
FORT WAYNE, IN
46825-1675
Practice Phone: 260-432-4400
Practice Fax: 260-969-6898

Directions to “ASSOCIATED SURGEONS AND PHYSICIANS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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