FORT WAYNE ORTHOPEDICS, LLC


Address: 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058
Phone: 2604368686

FORT WAYNE ORTHOPEDICS, LLC (NPI# 1043525009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043525009
Entity Type Organization
Organization Name FORT WAYNE ORTHOPEDICS, LLC
Practice Address 315 W Old Key Dr
Suite 140
Peru
IN 46970-9058
Mailing Address Po Box 2526
Fort Wayne
IN 46801-2526
Practice Telephone 2604368686
Practice Fax Number 2604590036
Mailing Telephone 2604368686
Mailing Fax Number 2604325075
Enumeration Date 2010-08-16
Last Update Date 2013-11-27
Authorized Official Name JERALD L. COOPER (M.D./PRESIDENT)
Authorized Official Telephone 2604368686
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
50002482 IN Allopathic & Osteopathic Physicians
N 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
50002482 IN Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
50002482 IN Allopathic & Osteopathic Physicians
N 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
50002482 IN Allopathic & Osteopathic Physicians
N 213E00000X Podiatrist 50002482 IN Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
50002482 IN Podiatric Medicine & Surgery Service Providers
N 363A00000X Physician Assistant 50002482 IN Physician Assistants & Advanced Practice Nursing Providers
Y 207X00000X Orthopaedic Surgery 50002482 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 100210470 05
IN DME PTAN 0162610011 01
IN 100210470A 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881909935 Fort Wayne Orthopedics, LLC Orthopaedic Surgery 207 N Townline Rd, Lagrange, IN 46761-1325 2010-08-13
1518272665 Fort Wayne Orthopedics, LLC Orthopaedic Surgery 816 Main St, Rochester, IN 46975-1543 2010-08-13
1811202963 Fort Wayne Orthopedics, LLC Orthopaedic Surgery 3816 New Vision Dr, Fort Wayne, IN 46845-1708 2010-08-13
1184939233 Fort Wayne Orthopedics, LLC Orthopaedic Surgery 315 Lehman Ave, Topeka, IN 46571-9476 2010-08-13

Office Location

Street Address 315 W OLD KEY DR
SUITE 140
City PERU
State IN
Zip Code 46970-9058

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689602062 William Charles Hoover Family Medicine 315 W Old Key Dr, Peru, IN 46970-9057 2006-06-28
1346621000 Lisa Ann Jones Nurse Practitioner 315 W Old Key Dr, Peru, IN 46970-9057 2015-06-17
1780988428 Elizabeth A. Jernagan Nurse Practitioner 315 W Old Key Dr, Peru, IN 46970-9057 2011-01-10
1558661744 Doris M Carden Nurse Practitioner 315 W Old Key Dr, Peru, IN 46970-9057 2010-10-22
1003140419 Alliance Healthcare Services Inc Clinic/Center 315 W Old Key Dr, Peru, IN 46970-9057 2009-10-01
1629247028 Cancer Care Group, P.C. Radiology 315 W Old Key Dr, Suite 140, Peru, IN 46970-9057 2008-02-29
1730266602 Lavonne Eddy Nurse Practitioner 315 W Old Key Dr, Peru, IN 46970-9057 2006-10-31
1255418125 Lloyd Lorenz Family Medicine 315 W Old Key Dr, Peru, IN 46970-9057 2006-10-31
1134206014 Michael Mull Family Medicine 315 W Old Key Dr, Peru, IN 46970-9057 2006-10-31
1013094994 Heather Weber Nurse Practitioner 315 W Old Key Dr, Peru, IN 46970-9057 2006-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447896311 Christina M Van Meter Pharmacist 930 W Main St., Peru, IN 46970 2019-11-26
1821554585 Thomas Gilbert Reaves Counselor 5851 S. Us-31, Lot 47, Peru, IN 46970 2019-02-18
1104154863 American Foot and Ankle Inc Durable Medical Equipment & Medical Supplies 632 West Main Street, Peru, IN 46970 2009-11-18
1629208251 Rafik Farag Family Medicine 1694 W Logansport Rd., Community Health Center of Miami County, Peru, IN 46970 2009-07-16
1508076050 Peggy L Wert Occupational Therapy Assistant 850 Matador Drive, Peru, IN 46970 2007-05-23
1972690634 Sherif Elmasry Pediatrics 655 N Broadway, Peru, IN 46970 2006-10-06
1548357320 Belinda Diane Stonger Hearing Instrument Specialist 1 S. Broadway, Peru, IN 46970 2006-10-05
1134214083 American Health Network of Indiana, LLC Durable Medical Equipment & Medical Supplies 315 West Old Key Drive, Peru, IN 46970 2006-10-04
1710082409 Thomas J Guthrie Dentist 5 West Logan Street, Peru, IN 46970 2006-09-14
1750921938 Christina Russell Counselor 1000 N Broadway Ste A, Peru, IN 46970 2020-01-15
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851631592 Connor Kasik Orthopaedic Surgery 920 West St Ste 211, Peru, IL 61354-2769 2013-02-17
1013986926 Gregory A Konrath Orthopaedic Surgery 285 W 12th St, Ste 106, Peru, IN 46970-1653 2006-03-14
1922114040 Jason Allan Bergandi Orthopaedic Surgery 4231 Progress Blvd, 4, Peru, IL 61354-1193 2006-08-22
1043250459 Peter J Meier Orthopaedic Surgery 920 West St, Ste 211, Peru, IL 61354-2763 2006-06-07
1467491092 Robert J Mitchell Orthopaedic Surgery 920 West St, Ste 211, Peru, IL 61354-2763 2006-06-06
1710935325 Charles R Kershner Orthopaedic Surgery 285 W 12th St, 106, Peru, IN 46970-1653 2006-05-05
1073578662 William Pohnert Orthopaedic Surgery 285 W 12th St, Ste. 106, Peru, IN 46970-1653 2006-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164038618 Union Associated Physicians Clinic, LLC Orthopaedic Surgery 801 S Main St Ste 200, Clinton, IN 47842-2261 2020-09-21
1699317529 Lakeshore Bone & Joint Institute, PC Orthopaedic Surgery 759 45th St Ste 201, Munster, IN 46321-2938 2019-10-11
1609417260 Orthopaedics-indianapolis, Inc Orthopaedic Surgery 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 2019-10-04
1104330034 Hinsdale Orthopaedic Associates, S.c. Orthopaedic Surgery 8141 S Calumet Ave, Unit 1, Munster, IN 46321 2017-11-30
1679022925 Stephen Stein Orthopaedic Surgery 13198 N County Road 400 E, Batesville, IN 47006-8881 2016-09-28
1013371277 Orthopaedics-indianapolis, Inc Orthopaedic Surgery 17471 Wheeler Road, Suite 112, Westfield, IN 46074-6901 2016-04-13
1194184671 Greenwood Orthopedics PC Orthopaedic Surgery 965 Emerson Parkway, Suite K, Greenwood, IN 46143-6274 2016-02-12
1467826032 Franciscan Physician Network Orthopaedic Surgery 759 45th Street, Suite 201, Munster, IN 46321 2015-11-19
1285019851 Community Physicians of Indiana Inc Orthopaedic Surgery 2312 S Dixon Road, Suite 200, Kokomo, IN 46902-6423 2015-07-24
1730561291 Cody Shafer Orthopaedic Surgery 1120 W Michigan St Rm 600, Indianapolis, IN 46202-5209 2015-06-22
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Competitor

Search similar providers

City PERU
Zip Code 46970

Improve Information

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Dataset Information

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.

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