SURGICAL SERVICES OF NORTHERN INDIANA, LLC
NPI 1699729111
Physician Assistant - Surgical in Granger, IN

Q: What is Surgical Services Of Northern Indiana, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since May 20, 2006

50744 PHEASANT COVE DR, GRANGER, IN 46530(574) 261-9444(574) 272-2220 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Surgical Services Of Northern Indiana, Llc NPPES

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

SURGICAL SERVICES OF NORTHERN INDIANA, LLC (NPI 1699729111) is a healthcare organization registered as a surgical in Granger, Indiana and active in the NPI registry since May 2006. The organization lists Timothy Barnard, President, as its authorized official.

NPPES Registry Identity

NPI1699729111

Entity TypeOrganization

Primary Taxonomy363AS0400X

Legal Business NameSURGICAL SERVICES OF NORTHERN INDIANA, LLC

Location Address50744 PHEASANT COVE DRGranger, IN 46530-8835

Mailing Address50744 Pheasant Cove DrGranger, IN 46530-8835 · (574) 273-1232 · Fax (574) 272-2220

Phone(574) 261-9444

Fax(574) 272-2220

Organization SubpartNo

Authorized OfficialTimothy BarnardPresident · (574) 261-9444

Enumeration DateMay 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1699729111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IN · 1000226A

50744 PHEASANT COVE DR, Granger, IN 46530

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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 Surgical Services Of Northern Indiana, LLC's NPI number?

The NPI number for Surgical Services Of Northern Indiana, LLC is 1699729111. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Surgical Services Of Northern Indiana, LLC located?

Surgical Services Of Northern Indiana, LLC is located at 50744 Pheasant Cove Dr, Granger, IN 46530. The listed phone number is (574) 261-9444.

What is Surgical Services Of Northern Indiana, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Surgical Services Of Northern Indiana, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.