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

Goshen Surgical Associates, Inc

Organization Surgery Physician · NPI 1093823908

Goshen Surgical Associates, Inc provides Surgery Physician services in Goshen, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Marilyn Ave Ste 4
Goshen, IN 46526-4800 Not confirmed with CMS for 15 years — call before visiting
Phone: (574) 533-2769
Fax: (574) 534-6822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 50001564A (IN)
Surgery Physician Taxonomy 208600000X · Licence 50001564A (IN)

Record details

NPI number1093823908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Harley — Vice President · (574) 533-2769
NPI enumeratedAugust 29, 2006
Last updated in NPPESJanuary 24, 2011
Mailing address101 Marilyn Ave, Suite 4, Goshen, IN 46526-4800

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