Great Lakes Pediatric Surgeons, Inc. in Fort Wayne - Pediatric Surgery
Great Lakes Pediatric Surgeons, Inc. - NPI 1669455267
Great Lakes Pediatric Surgeons, Inc. is a Pediatric Surgery in Fort Wayne, Indiana. Great Lakes Pediatric Surgeons, Inc. practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Great Lakes Pediatric Surgeons, Inc. is 1669455267. The last update date is 2008-03-14.
Great Lakes Pediatric Surgeons, Inc.'s current location address is 7613 W Jefferson Blvd Ste 200, Fort Wayne, Indiana. You can contact this provider via phone number 2604697337 and fax number 2604697340. The mailing address for Great Lakes Pediatric Surgeons, Inc. is 7613 W Jefferson Blvd Ste 200, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Lakes Pediatric Surgeons, Inc. |
|---|---|
| Address | 7613 W Jefferson Blvd Ste 200, Fort Wayne, Indiana |
| Phone Number | 2604697337 |
| Fax Number | 2604697340 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Smith A. David |
| Credentials | M.D. |
| Telephone Number | 2604697337 |
NPI Number Detail
| NPI Number | 1669455267 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2008-03-14 |
Provider Mailing Address Detail
| Address | 7613 W Jefferson Blvd Ste 200 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044182 |
| Phone Number | 2604697337 |
| Fax Number | 2604697340 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Great Lakes Pediatric Surgeons, Inc.?
The Great Lakes Pediatric Surgeons, Inc. has been issued the NPI (National Provider Identifier) 1669455267 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Great Lakes Pediatric Surgeons, Inc. is physically located?
The Great Lakes Pediatric Surgeons, Inc. is physically situated at the following address: 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN, 468044182.
What is Great Lakes Pediatric Surgeons, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Great Lakes Pediatric Surgeons, Inc. is Pediatric Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0120X.
On what date did Great Lakes Pediatric Surgeons, Inc. receive its 1669455267 assignment from the Centers for Medicare & Medicaid Services?
The Great Lakes Pediatric Surgeons, Inc. was assigned its 1669455267 on 2005-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Great Lakes Pediatric Surgeons, Inc. most recently updated?
The details pertaining to the Great Lakes Pediatric Surgeons, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-03-14.