The South Bend Clinic, LLC
NPI 1487307492ActiveOrganization· Anesthesiology· South Bend, IN
Anesthesiology in South Bend, Indiana, registered in NPPES in January 2022. The authorized official on file is Kelly Macken-Marble, Ceo.
Overview
| NPI | 1487307492 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2022 |
| Last updated in NPPES | Mar 7, 2022 |
| Certified by provider | Mar 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Anesthesiology providers in South Bend
- 1023572781
- 1669032942
- 1942647219
- 1124032537
- 1891887063
- 1558526061
- 1588641336
- 1194702944
- 1467439216
- 1568757607
- 1194040048
- 1316157290