Associates In Surgery, Pc in Portage - Surgery

Associates In Surgery, Pc - NPI 1245312586

Associates In Surgery, Pc is a Surgery in Portage, Indiana. Associates In Surgery, Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Associates In Surgery, Pc is 1245312586. The last update date is 2009-08-19.

Associates In Surgery, Pc's current location address is 3630 Willowcreek Rd, Portage, Indiana. You can contact this provider via phone number 2197594577 and fax number 2197593564. The mailing address for Associates In Surgery, Pc is 3630 Willowcreek Rd, Portage, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Associates In Surgery, Pc
Address 3630 Willowcreek Rd, Portage, Indiana
Phone Number 2197594577
Fax Number 2197593564
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Cooper A Jac
Credentials M.D.
Telephone Number 2197594577

NPI Number Detail

NPI Number 1245312586
Provider Enumeration Date 2006-10-19
Last Updated Date 2009-08-19

Provider Mailing Address Detail

Address 3630 Willowcreek Rd
City Portage
State Indiana (IN)
Post Code 463685075
Phone Number 2197594577
Fax Number 2197593564

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100209130B IN --

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FAQs about Associates In Surgery, Pc

What is the unique 10-digit identification code issued to Associates In Surgery, Pc by the Centers for Medicare & Medicaid Services?

The Associates In Surgery, Pc has been assigned the NPI (National Provider Identifier) 1245312586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Associates In Surgery, Pc is physically located?

The Associates In Surgery, Pc is situated at the following address: 3630 Willowcreek Rd, Portage, IN 463685075.

What is Associates In Surgery, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Associates In Surgery, Pc's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.

When did Associates In Surgery, Pc receive its 1245312586 assignment?

The Associates In Surgery, Pc was assigned its 1245312586 on 2006-10-19, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Associates In Surgery, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Associates In Surgery, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-19.

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