INDIANA SURGICAL SPECIALISTS, LLC
NPI 1528044625
Surgery in Fort Wayne, IN

Q: What is Indiana Surgical Specialists, LLC's NPI number?

The NPI number for Indiana Surgical Specialists, LLC is 1528044625. It was assigned to this organization in the NPPES registry on December 20, 2005.

Q: What is Indiana Surgical Specialists, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since December 20, 2005

11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845(260) 484-9611(260) 484-1004 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Indiana Surgical Specialists, Llc NPPES

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

INDIANA SURGICAL SPECIALISTS, LLC (NPI 1528044625) is a healthcare organization registered as a surgery in Fort Wayne, Indiana and active in the NPI registry since December 2005. The organization lists Richard Hively, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1528044625

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameINDIANA SURGICAL SPECIALISTS, LLC

Location Address11141 PARKVIEW PLAZA DR STE 305Fort Wayne, IN 46845-1715

Mailing Address11141 Parkview Plaza Dr Ste 305Fort Wayne, IN 46845-1715 · (260) 484-9611 · Fax (260) 484-1004

Phone(260) 484-9611

Fax(260) 484-1004

Organization SubpartNo

Authorized OfficialRichard HivelyBusiness Manager · (260) 484-9612

Enumeration DateDecember 20, 2005

Last NPPES UpdateJuly 29, 2008

✔ NPI 1528044625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

11141 PARKVIEW PLAZA DR STE 305, Fort Wayne, IN 46845

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Other Identifiers 6

Medicaid0270371OH

Medicare PIN9365921OH

OtherCA7015IN · Medicare Railroad

Medicare PINCA7015IN

Medicare PIN667640IN

Medicaid100055660AIN

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

Other Providers at the Same Location NPPES 20

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

DR. CRESSILEE BRYANT M.D.

Surgery