Fort Wayne Orthopaedics Llc in Fort Wayne - Physician Assistant
Fort Wayne Orthopaedics Llc - NPI 1497758429
Fort Wayne Orthopaedics Llc is a Physician Assistant in Fort Wayne, Indiana. Fort Wayne Orthopaedics Llc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Fort Wayne Orthopaedics Llc is 1497758429. The last update date is 2015-11-19.
Fort Wayne Orthopaedics Llc's current location address is Po Box 2526, Fort Wayne, Indiana. You can contact this provider via phone number 2604368686 and fax number 2604368585. The mailing address for Fort Wayne Orthopaedics Llc is Po Box 2526, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Wayne Orthopaedics Llc |
|---|---|
| Address | Po Box 2526, Fort Wayne, Indiana |
| Phone Number | 2604368686 |
| Fax Number | 2604368585 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cooper L Jerald |
| Credentials | M.D. |
| Telephone Number | 2604368686 |
NPI Number Detail
| NPI Number | 1497758429 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2015-11-19 |
Provider Mailing Address Detail
| Address | Po Box 2526 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 4680125260 |
| Phone Number | 2604368686 |
| Fax Number | 2604368585 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 50002482A |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201255250 | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fort Wayne Orthopaedics Llc?
The Fort Wayne Orthopaedics Llc has been issued the NPI (National Provider Identifier) 1497758429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Fort Wayne Orthopaedics Llc?
The Fort Wayne Orthopaedics Llc is situated at Po Box 2526, in the city of Fort Wayne, state of IN, with the zip code 4680125260.
What is Fort Wayne Orthopaedics Llc's area of expertise and its corresponding taxonomy classification?
The Fort Wayne Orthopaedics Llc's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did Fort Wayne Orthopaedics Llc receive its 1497758429 assignment?
The Fort Wayne Orthopaedics Llc was assigned its 1497758429 on 2005-05-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Fort Wayne Orthopaedics Llc last refreshed?
The information related to the Fort Wayne Orthopaedics Llc, including its address, specialty, and other relevant details, was last updated on 2015-11-19.
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