FORT WAYNE ORTHOPAEDICS, LLC (NPI# 1033320510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033320510 |
| Entity Type | Organization |
| Organization Name | FORT WAYNE ORTHOPAEDICS, LLC |
| Other Organization Name | FORT WAYNE ORTHOPEDICS, LLC |
| Practice Address |
7601 W Jefferson Blvd Fort Wayne IN 46804-4133 |
| Mailing Address |
Po Box 2526 Fort Wayne IN 46801-2526 |
| Practice Telephone | 2604368686 |
| Practice Fax Number | 2604368585 |
| Mailing Telephone | 2604368686 |
| Mailing Fax Number | 2604325075 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | JERALD L. COOPER (M.D./PRESIDENT) |
| Authorized Official Telephone | 2604368686 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 50002482 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DME REGIONB | 0162610001 | 01 |
| Other Name | Type Code |
|---|---|
| Fort Wayne Orthopedics, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982060190 | Fort Wayne Orthopaedics, LLC | Durable Medical Equipment & Medical Supplies | 2936 Frontage Rd, Warsaw, IN 46580-3914 | 2016-01-05 |
| 1255750352 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 800 Broadway, Ste 215, Fort Wayne, IN 46802-2149 | 2014-04-16 |
| 1043527781 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2010-09-01 |
| 1871808923 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 | 2010-08-13 |
| 1609181759 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 1302 Minnich Rd, New Haven, IN 46774-2052 | 2010-08-13 |
| 1104131259 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 3270 Intertech Dr, Angola, IN 46703-7325 | 2010-08-13 |
| 1720393861 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 1100 S Main St, Bluffton, IN 46714-3615 | 2010-08-13 |
| 1740595891 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 3171 E Center Street Ext, #75, Warsaw, IN 46580-3901 | 2010-08-13 |
| 1619281219 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 1316 E 7th St, Suite 2, Auburn, IN 46706-2523 | 2010-08-06 |
| Street Address |
7601 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758429 | Fort Wayne Orthopaedics LLC | Orthopaedic Surgery | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-05-23 |
| 1801456553 | Elizabeth Schaefer | Specialist/Technologist | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2019-06-15 |
| 1417514480 | Courtney Mangan | Nurse Practitioner | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2019-05-24 |
| 1881177798 | Lindsey M. Hertenstein | Registered Nurse | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2018-09-07 |
| 1912407099 | Heather Korte | Registered Nurse | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2018-02-15 |
| 1902314958 | John Grimshaw | Registered Nurse | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2018-01-11 |
| 1053836882 | Alex Villavicencio | Nurse Practitioner | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2017-08-14 |
| 1841721735 | Abbey K. Bunnell | Nurse Practitioner | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2017-03-23 |
| 1093256950 | Jessica A. Wiedemann | Nurse Practitioner | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2017-03-13 |
| 1245786672 | Abigail Vanlaningham | Physician Assistant | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2016-08-26 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261897 | J & Y Medical LLC | Durable Medical Equipment & Medical Supplies | 227 E Dupont Rd, Fort Wayne, IN 46825-2047 | 2020-09-29 |
| 1023658283 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 436 E Washington Blvd Ste P, Fort Wayne, IN 46802-3210 | 2020-01-15 |
| 1972036481 | Darah Medical Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 4206 Flagstaff Cv, Fort Wayne, IN 46815-4417 | 2017-04-11 |
| 1558749408 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2100 Goshen Rd Ste 111, Fort Wayne, IN 46808-1493 | 2015-05-12 |
| 1679979363 | Apsco | Durable Medical Equipment & Medical Supplies | 3710 Piper Dr, Fort Wayne, IN 46809-3121 | 2014-11-07 |
| 1720404577 | James Medical Rents & Sales, Inc. | Durable Medical Equipment & Medical Supplies | 7107 W Jefferson Blvd, Fort Wayne, IN 46804-6235 | 2014-03-17 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043658701 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 4225 Hobson Rd, Fort Wayne, IN 46815-4506 | 2013-06-04 |
| 1811232614 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1515 Profit Dr, Fort Wayne, IN 46808-1172 | 2012-12-05 |
| 1174893978 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 10301 E State Road 37, Fort Wayne, IN 46835-9591 | 2012-01-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on FORT WAYNE ORTHOPAEDICS, LLC.
| 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.