GOSHEN SURGICAL ASSOCIATES, INC.
NPI 1093823908
Surgery - Vascular Surgery in Goshen, IN

Active since August 29, 2006
101 MARILYN AVE, SUITE 4, GOSHEN, IN 46526(574) 533-2769(574) 534-6822 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Goshen Surgical Associates, Inc. NPPES

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

GOSHEN SURGICAL ASSOCIATES, INC. (NPI 1093823908) is a healthcare organization registered as a vascular surgery in Goshen, Indiana and active in the NPI registry since August 2006. The organization lists John W Harley, Vice President, as its authorized official.

NPPES Registry Identity

NPI1093823908
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameGOSHEN SURGICAL ASSOCIATES, INC.
Location Address101 MARILYN AVE, SUITE 4Goshen, IN 46526-4800
Mailing Address101 Marilyn Ave, Suite 4Goshen, IN 46526-4800 · (574) 533-2769 · Fax (574) 534-6822
Fax(574) 534-6822
Organization SubpartNo
Authorized OfficialJohn W HarleyVice President · (574) 533-2769
Enumeration DateAugust 29, 2006
Last NPPES UpdateJanuary 24, 2011
NPI 1093823908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in IN · 50001564A
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 50001564A (IN)
101 MARILYN AVE, Goshen, IN 46526

Other Identifiers 2

Medicare PIN208030IN
Medicaid100384730IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Surgery (Vascular Surgery)
101 MARILYN AVE, SUITE 4
GOSHEN, IN 46526
Surgery (Vascular Surgery)
101 MARILYN AVE, SUITE 4
GOSHEN, IN 46526

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 Goshen Surgical Associates, Inc.'s NPI number?

The NPI number for Goshen Surgical Associates, Inc. is 1093823908. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is Goshen Surgical Associates, Inc. located?

Goshen Surgical Associates, Inc. is located at 101 Marilyn Ave Suite 4, Goshen, IN 46526. The listed phone number is (574) 533-2769.

What is Goshen Surgical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Goshen Surgical Associates, Inc. was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.