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FORT WAYNE AMBULATORY SURGERY CENTER
NPI 1093746380
Clinic/Center - Ambulatory Surgical in Fort Wayne, IN

Active since July 05, 2006
321 E WAYNE ST, FORT WAYNE, IN 46802(260) 422-5976(260) 969-1041 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fort Wayne Ambulatory Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WAYNE AMBULATORY SURGERY CENTER (NPI 1093746380) is a healthcare organization registered as an ambulatory surgical in Fort Wayne, Indiana and active in the NPI registry since July 2006. The organization lists Jeffrey S Rapkin, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1093746380
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGICENTER GROUP LLC
Location Address321 E WAYNE STFort Wayne, IN 46802-2713
Mailing AddressPo Box 457Richmond, IN 47375-0457 · (765) 966-1945 · Fax (765) 966-2975
Phone(260) 422-5976
Fax(260) 969-1041
Organization SubpartNo
Authorized OfficialJeffrey S RapkinPart Owner · (765) 286-8888
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 12, 2009
✔ NPI 1093746380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
321 E WAYNE ST, Fort Wayne, IN 46802
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Other Names 1

Doing Business AsFort Wayne Ambulatory Surgery Center

Other Identifiers 5

Medicare PIN490005008IN
Medicare PINZG8030IN
Other000000532877IN · Anthem Pin
Medicaid200875480AIN
Medicaid2883910OH

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY F ZINK O.D.
Optometrist
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
THE EYE CENTER OF FORT WAYNE, LLC
Ophthalmology
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
DR. JOHN REX PARENT M.D.
Ophthalmology
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
PAUL A GILL O.D.
Optometrist
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
DML MOBILE ANESTHESIA , LLC
Anesthesiology
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
EYE CENTER GROUP LLC
Ophthalmology
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
MIDWEST EYE CONSULTANTS, PC
Optometrist
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 424-5656
THE EYE SURGICAL CENTER OF FORT WAYNE, LLC
Clinic/Center (Ambulatory Surgical)
321 E WAYNE ST
FORT WAYNE, IN 46802
Allen County (260) 422-5976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgicenter Group LLC's NPI number?

The NPI number for Surgicenter Group LLC is 1093746380. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Fort Wayne Ambulatory Surgery Center.

Where is Surgicenter Group LLC located?

Surgicenter Group LLC is located at 321 E Wayne St, Fort Wayne, IN 46802. The listed phone number is (260) 422-5976.

What is Surgicenter Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Surgicenter Group LLC was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.