CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE (NPI# 1073510178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073510178 |
| Entity Type | Organization |
| Organization Name | CARDIOSOM LLC DBA MD SLEEP OF FT. WAYNE |
| Practice Address |
1625 Magnavox Way Ft Wayne IN 46804-1535 |
| Mailing Address |
615 W Carmel Dr Suite 100 Carmel IN 46032-2996 |
| Practice Telephone | 2604599248 |
| Practice Fax Number | 2604599247 |
| Mailing Telephone | 3177061080 |
| Mailing Fax Number | 3177061022 |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KEVIN PAUL GREISL (PRESIDENT) |
| Authorized Official Telephone | 3177061080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1625 MAGNAVOX WAY |
| City | FT WAYNE |
| State | IN |
| Zip Code | 46804-1535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813692 | Cardiosom of Ft. Wayne, Inc | Durable Medical Equipment & Medical Supplies | 1625 Magnavox Way, Ft Wayne, IN 46804-1535 | 2005-06-28 |
| 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 | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073789954 | Charles Arthur Bolinger | Technician, Other | 4546 Maplecrest Rd, Ft Wayne, IN 46835 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083103485 | Lice Clinics of America- Northwest Indiana | Technician, Other | 1010 Breuckman Dr, Crown Point, IN 46307-7530 | 2018-05-02 |
| 1053864058 | Regina Reevesscaife | Technician, Other | 1611 S Vernon St, South Bend, IN 46613-3214 | 2016-07-27 |
| 1699127001 | Jaime Lynn Harvey | Technician, Other | 1653 Park Hurst Dr, Indianapolis, IN 46229-4130 | 2016-07-08 |
| 1447601265 | Dominique Simmons | Technician, Other | 5638 E 18th St, Indianapolis, IN 46218-5017 | 2016-06-22 |
| 1124474333 | Esther Kather | Technician, Other | 1216 Brook Run Dr, 3a, Mishawaka, IN 46544-9285 | 2016-05-05 |
| 1215393780 | Kirt Anthony Shepard | Technician, Other | 1106 S 20th St, Apt 321 A, South Bend, IN 46615-1668 | 2016-01-13 |
| 1467818104 | Monica Fryska | Technician, Other | 15121 Clifden Dr, Granger, IN 46530-8205 | 2016-01-11 |
| 1639551344 | Sara Allyn Shrivastav | Technician, Other | 3711 E Southport Rd, Indianapolis, IN 46227 | 2015-06-18 |
| 1619364312 | Latoya Janae Swanson | Technician, Other | 52718 E Cypress Cir, South Bend, IN 46637-4607 | 2015-04-20 |
| 1528454766 | Angelika Colpitts | Technician, Other | 7202 E 350 N, Rolling Prairie, IN 46371-9438 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
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| 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.