Pediatric Associates Of Michiana

LBN: Allied Physicians Of Michiana, Llc
Pediatric Associates Of Michiana is an health care organization with primary practice located at 6301 University Commons Suite 320, South Bend IN 46635-1571. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Allied Physicians Of Michiana, Llc can be contacted via phone (574) 271-7337, or through Roussarie, Shery via phone (574) 251-2100.

Contact Information

Primary practice address
6301 University Commons Suite 320 South Bend IN 46635-1571
Phone: (574) 271-7337
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roussarie, Shery
Phone: (574) 251-2100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1114259074
LBN Legal business name Allied Physicians Of Michiana, Llc
DBA Doing business as Pediatric Associates Of Michiana
Authorized official Roussarie, Shery
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 3rd, 2010
Last updated Aug 1st, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114259074 NPPES
Indiana MEDICAID 200962980K

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