OrganizationActive
Indiana Surgical Specialists, LLC
NPI 1528044625 · Surgery Physician · Fort Wayne, IN
Indiana Surgical Specialists, LLC is a Surgery Physician organization in Fort Wayne, IN (NPI 1528044625).
Provider details
- NPI number
- 1528044625
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Hively, Business Manager(260) 484-9612
Practice location
11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 46845-1715
Phone: (260) 484-9611
Fax: (260) 484-1004
Street-level locationGet directions
Mailing address
11141 Parkview Plaza Dr Ste 305
Fort Wayne, IN 46845-1715
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2008-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.