Orl Pc is a Otolaryngology in Fort Wayne, Indiana. Orl Pc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Orl Pc is 1508960774. The last update date is 2020-08-22.
Orl Pc's current location address is 800 Broadway, Fort Wayne, Indiana. You can contact this provider via phone number 2604222386 and fax number 2604223985. The mailing address for Orl Pc is 800 Broadway, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Orl Pc |
|---|---|
| Address | 800 Broadway, Fort Wayne, Indiana |
| Phone Number | 2604222386 |
| Fax Number | 2604223985 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Snyderman C Sanford |
| Credentials | MD |
| Telephone Number | 2604222386 |
NPI Number Detail
| NPI Number | 1508960774 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 800 Broadway |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468022149 |
| Phone Number | 2604222386 |
| Fax Number | 2604223985 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 01016604A |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85958 | IN | ANTHEM BCBS |
Post Comment/ Review Below
What is the Orl Pc's unique identification number?
The Orl Pc has been assigned the NPI (National Provider Identifier) Number 1508960774 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 Orl Pc is geographically located?
The Orl Pc is physically situated at the following location: 800 Broadway, Fort Wayne, IN, 468022149.
What is Orl Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Orl Pc's area of specialization is Otolaryngology, and the corresponding taxonomy code that categorizes this field of practice is 207Y00000X.
On what date was the 1508960774 assigned to Orl Pc?
The Orl Pc was issued its 1508960774 on 2006-09-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Orl Pc most recently updated or refreshed?
The details pertaining to the Orl Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.