Nancy, Director of Administration

As the Director of Administration, Nancy is responsible for all human resource functions, assists with various daily operational functions and numerous compliance programs. Nancy joined our practice with over 20 years of human resource experience and has a dual bachelor’s degree in Business/Human Resources from Indiana Tech. Her previous experience allows her to streamline processes here at The Centre, P.C.

Away from work, Nancy and her husband enjoy spending time with their nine grandchildren and seven great-grandchildren. When not attending games or assisting in activities with family, Nancy enjoys cooking, cake decorating, floral arranging and crafting.

Meet the Doctors

Dr. Downs

Ronald K. Downs, M.D., F.A.C.S. founded The Centre, P.C. in Elkhart, Indiana in 1992. He is an active member in the American Society of Plastic Surgeons. Dr. Downs is also a member of The American Society for Aesthetic Plastic Surgery, The American Medical Association, The Ohio Valley Plastic Surgery Society, The Rush Surgical Society, and The Indiana State Medical Association where he serves on the board of directors and has served as the president from 2003 to 2004.

Dr. Macias

Dr. Macias completed her plastic and reconstructive surgery residency training at Spectrum Health/Michigan State University in Grand Rapids, Michigan. She is Board Certified with the American Board of Plastic Surgery.

Dr. Viscardi

Patrick J. Viscardi, M.D. has been part of the surgical team at The Centre, P.C. since 1998. Dr. Viscardi graduated from Dartmouth College in Hanover, New Hampshire, as a summa cum laude. He received his Doctor of Medicine Degree from the University of Rochester in New York. Dr. Viscardi completed his internship and general surgery residency at the University of Louisville, where he served as chief resident from 1994 to 1995.