ALLEN COUNTY RETINAL SURGEONS, P.C. (NPI# 1083738397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083738397 |
| Entity Type | Organization |
| Organization Name | ALLEN COUNTY RETINAL SURGEONS, P.C. |
| Practice Address |
7900 W Jefferson Blvd Suite 300 Fort Wayne IN 46804-4128 |
| Practice Telephone | 2604362181 |
| Practice Fax Number | 2604362567 |
| Mailing Telephone | 2604362181 |
| Mailing Fax Number | 2604362567 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | MATTHEW E FARBER (OWNER) |
| Authorized Official Telephone | 2604362181 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 01037909A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200280170 | 05 |
| Street Address |
7900 W JEFFERSON BLVD SUITE 300 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497744437 | Valerie D. Stogdill | Physician Assistant | 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 | 2005-10-20 |
| 1922556752 | Carole E. Slater | Registered Nurse | 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 | 2016-09-21 |
| 1144694464 | Kendall S. Ray | Dietitian, Registered | 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 | 2015-11-24 |
| 1548529084 | Beverly L. Mauger | Nurse Practitioner | 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 | 2012-05-03 |
| 1679857502 | Sara J Nevil | Nurse Practitioner | 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 | 2011-10-11 |
| 1043592033 | Kelly A Anderson | Nurse Practitioner | 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 | 2011-09-15 |
| 1336460161 | Charles Lee Copeland | Physician Assistant | 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 | 2010-06-16 |
| 1679805048 | Michelle Ann Parra | Nurse Practitioner | 7900 W Jefferson Blvd, Ste 304, Fort Wayne, IN 46804-4128 | 2010-02-09 |
| 1861624587 | Benjamin P Merchant | Physical Therapist | 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 | 2009-08-13 |
| 1134358005 | Justin D. Brown | Nurse Practitioner | 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 | 2009-07-13 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255986162 | Northeast Ophthalmology P C | Ophthalmology | 7750 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4174 | 2019-08-07 |
| 1730442559 | Retina Institute of Indiana Surgery Center, LLC | Ophthalmology | 11192 Diebold Rd, Fort Wayne, IN 46845-9662 | 2012-06-18 |
| 1124359708 | Summit Retina Consultants, P.C. | Ophthalmology | 6435 W Jefferson Blvd # 203, Fort Wayne, IN 46804-6203 | 2010-01-21 |
| 1306806302 | Daniel Edward Krach | Ophthalmology | 2510 E Dupont Rd Ste 128, Fort Wayne, IN 46825-1603 | 2006-03-24 |
| 1982690566 | Randal K Hughes | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2005-09-20 |
| 1568456549 | Earl Albert Braunlin | Ophthalmology | 717 W Jefferson Blvd, Fort Wayne, IN 46802-4002 | 2005-09-07 |
| 1285635334 | Gohar A Salam | Ophthalmology | 11188 Diebold Rd, Fort Wayne, IN 46845-9662 | 2005-08-10 |
| 1154329100 | Barbara Schroeder | Ophthalmology | 3301 Lake Ave, Fort Wayne, IN 46805-5529 | 2005-07-13 |
| 1922433614 | Allied Physicians Inc | Ophthalmology | 2510 E Dupont Rd Ste 128, Fort Wayne, IN 46825-1603 | 2013-09-12 |
| 1447690896 | Anne Schroeder Krafsig | Ophthalmology | 3301 Lake Ave, Fort Wayne, IN 46805-5529 | 2013-06-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on ALLEN COUNTY RETINAL SURGEONS, P.C..
| 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.