MICHAEL J. PHYTHIAN (NPI# 1023410222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023410222 |
| Entity Type | Individual |
| Full Name | MICHAEL J. PHYTHIAN |
| Practice Address |
5734 Coventry Ln Fort Wayne IN 46804-7141 |
| Mailing Address |
5330 Goshen Rd 53 Fort Wayne IN 46818-9640 |
| Practice Telephone | 2604367875 |
| Practice Fax Number | 2604329812 |
| Mailing Telephone | 7343069822 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 28217658A | IN | Nursing Service Providers |
| Street Address |
5734 COVENTRY LN |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359598 | Susan A Nasri | Anesthesiology | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2005-07-12 |
| 1801338769 | Benjamin Riebesel | Registered Nurse | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2016-11-09 |
| 1841648581 | Steven Moran | Nurse Anesthetist, Certified Registered | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2016-06-02 |
| 1649628553 | Kenny Joe Wallen | Pain Medicine | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2016-06-01 |
| 1033575907 | Kimberly Glendoria Wallen | Nurse Anesthetist, Certified Registered | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2016-01-08 |
| 1619369154 | William Dalling | Nurse Anesthetist, Certified Registered | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2015-02-20 |
| 1124424262 | Danielle Aguilar | Nurse Anesthetist, Certified Registered | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2014-11-18 |
| 1023424462 | Benjamin Wisenbaker | Nurse Anesthetist, Certified Registered | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2014-07-07 |
| 1811303258 | Morgan Wisenbaker | Nurse Anesthetist, Certified Registered | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2014-07-07 |
| 1114348497 | Thomas George Merkler | Nurse Anesthetist, Certified Registered | 5734 Coventry Ln, Fort Wayne, IN 46804-7141 | 2014-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930636 | Charice N Carver | Registered Nurse | 1930 Mathias St, Fort Wayne, IN 46815-7119 | 2020-04-13 |
| 1831653070 | Katherine Jane Frey | Registered Nurse | 10228 Dupont Circle Dr E Ste 100, Fort Wayne, IN 46825-1611 | 2019-01-22 |
| 1861989170 | Stephany Roach | Registered Nurse | 4012 Lahmeyer Rd, Fort Wayne, IN 46815-5622 | 2018-04-23 |
| 1265948343 | Kayla Doran | Registered Nurse | 11104 Parkview Circle Dr Ste 10, Fort Wayne, IN 46845-1733 | 2017-12-27 |
| 1831561372 | Molly Patricia Daugherty | Registered Nurse | 832 Rollingwood Ln, Fort Wayne, IN 46845-1053 | 2015-10-23 |
| 1558769687 | Desiree Heim | Registered Nurse | 2512 E Dupont Rd Ste 200, Fort Wayne, IN 46825-1609 | 2014-12-05 |
| 1194163998 | Samuel Maina Gichuhi | Registered Nurse | 1049 Tennessee Ave, Fort Wayne, IN 46805-4267 | 2013-06-13 |
| 1558705442 | Elissa Kipfer | Registered Nurse | 10524 Longwood Dr, Fort Wayne, IN 46845-1635 | 2013-04-22 |
| 1255698270 | Amber Jean Mccoy | Registered Nurse | 6114 Gate Tree Lane, Fort Wayne, IN 46835-2746 | 2012-04-16 |
| 1558511550 | Sybrenia Lynn Burton | Registered Nurse | 1816 Montgomery Ct, Fort Wayne, IN 46815-7485 | 2008-09-25 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on MICHAEL J. PHYTHIAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.