RACC MEDICAL ASSOCIATES LLC (NPI# 1184976136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184976136 |
| Entity Type | Organization |
| Organization Name | RACC MEDICAL ASSOCIATES LLC |
| Other Organization Name | SUMMIT PAIN MANAGEMENT |
| Practice Address |
7635 W Jefferson Blvd Fort Wayne IN 46804-4133 |
| Mailing Address |
Po Box 670 Huntertown IN 46748-0670 |
| Practice Telephone | 2607483650 |
| Mailing Telephone | 2607483650 |
| Mailing Fax Number | 2607483651 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | JAMIE MCMILLEN (OFFICE MANAGER) |
| Authorized Official Telephone | 2607483650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SUMMIT PAIN MANAGEMENT | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1314 E 7th St Ste 201, Auburn, IN 467062533 | 2607483650 | 2607483651 |
| 2124 N Biomet Dr, Warsaw, IN 465827858 | 2607483650 | 2607483651 |
| 6811 Lima Rd, Fort Wayne, IN 468181145 | 2607483650 | 2607483651 |
| 2512 E Dupont Rd, Suite 200, Fort Wayne, IN 468251609 | 2607483650 | 2607483651 |
| 1721 Magnavox Way, Fort Wayne, IN 468041537 | 2607483650 | 2607483651 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | RACC MEDICAL ASSOCIATES LLC | 2512 E Dupont Road Ste 200, Fort Wayne, IN 46825 |
| Street Address |
7635 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457341182 | H N Ramaprakash | Obstetrics & Gynecology | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-10-25 |
| 1437700101 | Cortnie Jordan | Registered Nurse | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2019-09-24 |
| 1346421088 | Pa Labs Inc | Clinical Medical Laboratory | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2007-11-23 |
| 1205056561 | Women's Health Advantage | Durable Medical Equipment & Medical Supplies | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2007-04-27 |
| 1831177906 | Womens Health Advantage | Obstetrics & Gynecology | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2006-01-09 |
| 1720078462 | Thomas M Stafford | Obstetrics & Gynecology | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-10-25 |
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265601041 | Allied Physicians Inc | Physical Medicine & Rehabilitation | 2512 E Dupont Rd Ste 120, Fort Wayne, IN 46825-1609 | 2008-02-26 |
| 1326139833 | Audrey Fawn Sofair | Physical Medicine & Rehabilitation | 11123 Parkview Plaza Dr Ste 201, Fort Wayne, IN 46845-1707 | 2006-09-28 |
| 1831153568 | Summit Spine & Sports Medicine, PC | Physical Medicine & Rehabilitation | 3828 New Vision Dr, Fort Wayne, IN 46845-1708 | 2006-04-12 |
| 1538150404 | Allied Physicians Inc., D/b/a Tri-state Physical Medicine | Physical Medicine & Rehabilitation | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2005-10-31 |
| 1841292612 | Joseph D Fortin | Physical Medicine & Rehabilitation | 9502 Lima Road, Ste 103, Fort Wayne, IN 46818-9270 | 2005-08-11 |
| 1386641587 | Eric M. Schreier | Physical Medicine & Rehabilitation | 3909 New Vision Dr, Suite 1, Fort Wayne, IN 46845-1725 | 2005-07-01 |
| 1790780005 | Bryan Dale Kaplansky | Physical Medicine & Rehabilitation | 3888 New Vision Dr, Fort Wayne, IN 46845-1708 | 2005-06-15 |
| 1457354433 | Thomas L Lazoff | Physical Medicine & Rehabilitation | 7201 Engle Rd, Fort Wayne, IN 46804-2228 | 2005-05-24 |
| 1235749128 | Kayla Sue Ann Brumbaugh | Physical Medicine & Rehabilitation | 7125 Hanna St, Fort Wayne, IN 46816-1166 | 2020-08-05 |
| 1205490877 | Elisha Lynn Handshoe | Physical Medicine & Rehabilitation | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2019-04-29 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.