Northeast Obstetrics & Gynecology, Llc in Fort Wayne - Medical Specialty

Northeast Obstetrics & Gynecology, Llc - NPI 1811941024

Northeast Obstetrics & Gynecology, Llc is a Medical Specialty in Fort Wayne, Indiana. Northeast Obstetrics & Gynecology, Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Northeast Obstetrics & Gynecology, Llc is 1811941024. The last update date is 2008-06-24.

Northeast Obstetrics & Gynecology, Llc's current location address is 11123 Parkview Plaza Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604227455 and fax number 2604249356. The mailing address for Northeast Obstetrics & Gynecology, Llc is 11123 Parkview Plaza Dr, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northeast Obstetrics & Gynecology, Llc
Address 11123 Parkview Plaza Dr, Fort Wayne, Indiana
Phone Number 2604227455
Fax Number 2604249356
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS M
Authorized Official Name Furniss A Tamara
Telephone Number 2604267755

NPI Number Detail

NPI Number 1811941024
Provider Enumeration Date 2006-05-20
Last Updated Date 2008-06-24

Provider Mailing Address Detail

Address 11123 Parkview Plaza Dr
City Fort Wayne
State Indiana (IN)
Post Code 468451707
Phone Number 2604227455
Fax Number 2604249356

Provider's Primary Taxonomy Detail

Speciality Medical Specialty
Taxonomy 261Qm2500X
Licence No 50001834A
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100055270A IN --

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FAQs about Northeast Obstetrics & Gynecology, Llc

What is the unique 10-digit identification code assigned to Northeast Obstetrics & Gynecology, Llc by the Centers for Medicare & Medicaid Services?

The Northeast Obstetrics & Gynecology, Llc has been issued the NPI (National Provider Identifier) 1811941024, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Northeast Obstetrics & Gynecology, Llc?

The Northeast Obstetrics & Gynecology, Llc is physically situated at 11123 Parkview Plaza Dr, in the city of Fort Wayne, state of IN, with the postal code 468451707.

What is the Northeast Obstetrics & Gynecology, Llc's specialty and taxonomy code?

The Northeast Obstetrics & Gynecology, Llc's specialty is Medical Specialty, and the corresponding taxonomy code is 261Qm2500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1811941024 to Northeast Obstetrics & Gynecology, Llc?

The Northeast Obstetrics & Gynecology, Llc received its 1811941024 assignment from the Centers for Medicare & Medicaid Services on 2006-05-20.

When was the information regarding Northeast Obstetrics & Gynecology, Llc most recently updated?

The details pertaining to the Northeast Obstetrics & Gynecology, Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-06-24.

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