SURGERY CENTER OF FORT WAYNE
NPI 1780218115
Clinic/Center - Ambulatory Surgical in Fort Wayne, IN

Q: What is Surgery Center Of Fort Wayne's NPI number?

The NPI number for Surgery Center Of Fort Wayne is 1780218115. It was assigned to this organization in the NPPES registry on February 25, 2020.

Q: What is Surgery Center Of Fort Wayne's specialty?

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

Active since February 25, 2020CLIA 15D2179842 · Waiver

1721 MAGNAVOX WAY, FORT WAYNE, IN 46804(317) 450-5441 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2024, Jun 3, 2020, Feb 25, 2020 (3 updates tracked since 2020).

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About Surgery Center Of Fort Wayne NPPES

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

SURGERY CENTER OF FORT WAYNE (NPI 1780218115) is a healthcare organization registered as an ambulatory surgical in Fort Wayne, Indiana and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Brandon Ehret, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780218115

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSURGERY CENTER OF FORT WAYNE

Location Address1721 MAGNAVOX WAYFort Wayne, IN 46804-1537

Mailing Address1721 Magnavox WayFort Wayne, IN 46804-1537 · (260) 250-0001 · Fax (260) 222-0002

Phone(317) 450-5441

Organization SubpartNo

Authorized OfficialBrandon EhretAdministrator · (317) 450-5441

Enumeration DateFebruary 25, 2020

Last NPPES UpdateApril 25, 20243 updates tracked since enumeration

NPPES CertifiedApril 25, 2024

✔ NPI 1780218115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1721 MAGNAVOX WAY, Fort Wayne, IN 46804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2179842

Surgery Center Of Fort Wayne · Fort Wayne, IN

Active · expires Mar 2, 2028

CLIA Number15D2179842

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMarch 3, 2026

Certificate Expiration DateMarch 2, 2028

Laboratory DirectorDr. Jared Coffman

Laboratory Phone(260) 250-0001

Laboratory LocationSurgery Center Of Fort Wayne1721 Magnovox Way, Fort Wayne, IN 46804

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

133 services66 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

103 services38 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

89 services51 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

74 services26 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

62 services40 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

51 services39 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

47 services42 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

42 services13 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

41 services23 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

31 services29 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

26 services19 patients

Fusion of pelvic joint using imaging guidance 27279

This procedure involves joining or "fusing" the pelvic joint to alleviate pain or stabilize the area. It's performed under imaging guidance, which helps the doctor visualize the area and ensure precise placement of medical tools. This can improve recovery and outcome.

21 services21 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

15 services14 patients

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Other Providers at the Same Location NPPES 14

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

DR. JARED COFFMAN MD

Pain Medicine (Interventional Pain Medicine)