Organization · Type 2 NPI
Foundation Surgery Affiliate of Fort Wayne, LLC
Ambulatory Surgical Clinic/Center · Fort Wayne, IN
NPI number
1144275629
Active
Practice location
8004 Carnegie Blvd.
Fort Wayne, IN 46804-5785
Fax (260) 434-3680
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | PENDING (IN) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1144275629
Foundation Surgery Affiliate of Fort Wayne, LLC's National Provider Identifier is 1144275629, issued on May 23, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 2, 2026.