# ASSOCIATED SURGEONS AND PHYSICIANS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083868269
- **Authorized official:** TRISH WARREN (CFO)
- **Authorized official phone:** (260) 432-4400

## Contact information

- **Practice address:** 2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
- **Practice address phone:** (260) 432-4400
- **Practice address fax:** (260) 969-6898
- **Mailing address:** 2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
- **Mailing address phone:** (260) 432-4400
- **Mailing address fax:** (260) 969-6898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IN | — |
| 207R00000X | Internal Medicine Physician | — | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | IN | Yes |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | IN | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | IN | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | IN | — |
| 208600000X | Surgery Physician | — | IN | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | IN | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | IN | — |
| 363L00000X | Nurse Practitioner | — | IN | — |
| 367A00000X | Advanced Practice Midwife | — | IN | — |

## Other

- **Enumeration date:** 11/14/2008
- **Last updated:** 10/05/2016