NORTHERN INDIANA VASCULAR INSTITUTE
NPI 1154832178
Surgery - Vascular Surgery in Mishawaka, IN

Active since October 17, 2017
611 E DOUGLAS RD STE 308, MISHAWAKA, IN 46545(574) 236-1888 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Oct 17, 2017 (2 updates tracked since 2017).

About Northern Indiana Vascular Institute NPPES

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

NORTHERN INDIANA VASCULAR INSTITUTE (NPI 1154832178) is a healthcare organization registered as a vascular surgery in Mishawaka, Indiana and active in the NPI registry since October 2017. The organization lists Shery Roussarie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154832178
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameALLIED PHYSICIANS OF MICHIANA, LLC
Location Address611 E DOUGLAS RD STE 308Mishawaka, IN 46545-1465
Mailing Address6301 University Commons Ste 230South Bend, IN 46635-1590
Organization SubpartYes
Authorized OfficialShery RoussarieCeo · (574) 251-2100
Enumeration DateOctober 17, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1154832178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
611 E DOUGLAS RD STE 308, Mishawaka, IN 46545

Other Names 2

Doing Business AsNorthern Indiana Vascular Institute
Doing Business AsNorthern Indiana Vascualr Institute

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Allied Physicians Of Michiana, LLC's NPI number?

The NPI number for Allied Physicians Of Michiana, LLC is 1154832178. It was assigned to this organization in the NPPES registry on October 17, 2017. The provider is doing business as Northern Indiana Vascular Institute and Northern Indiana Vascualr Institute.

Where is Allied Physicians Of Michiana, LLC located?

Allied Physicians Of Michiana, LLC is located at 611 E Douglas Rd Ste 308, Mishawaka, IN 46545. The listed phone number is (574) 236-1888.

What is Allied Physicians Of Michiana, LLC'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 Allied Physicians Of Michiana, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.