Northeast Medical Associates, Pc in Fort Wayne - Family Medicine
Northeast Medical Associates, Pc - NPI 1003807850
Northeast Medical Associates, Pc is a Family Medicine in Fort Wayne, Indiana. Northeast Medical Associates, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Northeast Medical Associates, Pc is 1003807850. The last update date is 2011-03-09.
Northeast Medical Associates, Pc's current location address is 1234 E. Dupont Rd., Fort Wayne, Indiana. You can contact this provider via phone number 2604802600 and fax number 2604968077. The mailing address for Northeast Medical Associates, Pc is 1234 E. Dupont Rd., Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Medical Associates, Pc |
|---|---|
| Address | 1234 E. Dupont Rd., Fort Wayne, Indiana |
| Phone Number | 2604802600 |
| Fax Number | 2604968077 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Evans Sue Karen |
| Credentials | M.D. |
| Telephone Number | 2604802600 |
NPI Number Detail
| NPI Number | 1003807850 |
|---|---|
| Provider Enumeration Date | 2005-11-01 |
| Last Updated Date | 2011-03-09 |
Provider Mailing Address Detail
| Address | 1234 E. Dupont Rd. |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468251545 |
| Phone Number | 2604802600 |
| Fax Number | 2604968077 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 50004246A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1003807850 | IN | GROUP NPI | |
| 7795314 | IN | AETNA PIN | |
| 200335790A | IN | -- | |
| CJ8803 | IN | MEDICARE RR |
Post Comment/ Review Below
What is the Northeast Medical Associates, Pc's unique identification number?
The Northeast Medical Associates, Pc has been assigned the NPI (National Provider Identifier) Number 1003807850 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Northeast Medical Associates, Pc is geographically located?
The Northeast Medical Associates, Pc is physically situated at the following location: 1234 E. Dupont Rd., Fort Wayne, IN, 468251545.
What is Northeast Medical Associates, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Northeast Medical Associates, Pc is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date was the 1003807850 assigned to Northeast Medical Associates, Pc?
The Northeast Medical Associates, Pc was issued its 1003807850 on 2005-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Northeast Medical Associates, Pc last refreshed?
The information related to the Northeast Medical Associates, Pc, including its address, specialty, and other relevant details, was last updated on 2011-03-09.