Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Surgery One Anesthesia, LLC

Organization Anesthesiology Physician · NPI 1144724402

Surgery One Anesthesia, LLC is an Anesthesiology Physician in Fort Wayne, Indiana. Works from 3 locations. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11420 Parkview Circle Dr, Fort Wayne, IN 46845-1729 — (260) 482-5194
  • 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 — (260) 672-5000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1144724402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Barbara Hathaway — Credentialing Officer · (260) 408-2203
NPI enumeratedMarch 21, 2018
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address5052 N Clinton St, Fort Wayne, IN 46825-5822

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