OrganizationActive
United Surgeons, LLC
NPI 1376148593 · Anesthesiology Physician · Mishawaka, IN
Provider details
- NPI number
- 1376148593
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Macken-Marble, Ceo(574) 231-6800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Certified Registered Nurse Anesthetist367500000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414
Phone: (574) 231-6800
Fax: (574) 231-6845
Street-level locationGet directions
Mailing address
4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414
Other names (DBA / former)
- Doing business as
- Unity Physicians Hospital
Registry dates
- Enumerated
- 2020-12-04
- Last updated
- 2020-12-10
- Certified
- 2020-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.