Organization
WESTFIELD AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE KONNERSMAN (EXECUTIVE DIRECTOR)
(317) 965-8641
Entity
Organization
Contact information
Practice address
17300 WESTFIELD BLVD STE 100, WESTFIELD, IN 46074-1363
(317) 763-1020
Mailing address
12315 HANCOCK ST STE 24, CARMEL, IN 46032-5885
(317) 965-8641
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207VG0400X
Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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