INDIANA AMBULATORY SURGICAL ASSOCIATES, INC – NPI #1043204688
Clinic/Center

INDIANA AMBULATORY SURGICAL ASSOCIATES, INC is an AHC clinic located in INDIANA, PA. NPPES has assigned the NPI number 1043204688 to INDIANA AMBULATORY SURGICAL ASSOCIATES, INC on September 09, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jan 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INDIANA AMBULATORY SURGICAL ASSOCIATES, INC below.

NPI Profile for
INDIANA AMBULATORY SURGICAL ASSOCIATES, INC

NPI Number
1043204688
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INDIANA AMBULATORY SURGICAL ASSOCIATES, INC
Primary location
841 HOSPITAL RD STE 1200
INDIANA, PA 15701-3660
Phone: (724) 465-1922 Fax: (724) 465-2636
Mailing address
Same as primary location
Organization Subpart
Yes - INDIANA AMBULATORY SURGICAL ASSOCIATES, INC is subpart of another organization.
Authorized Official
JEREMY SMITH
EXECUTIVE DIRECTOR
Phone: (724) 465-1922
Updated
Certification Date
Jan 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for INDIANA AMBULATORY SURGICAL ASSOCIATES, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidPA0017211930002
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 PA 10561500

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.