MIDWEST FERTILITY SPECIALISTS


Address: 2514 East Dupont Road, Suite 220, Fort Wayne, IN 46825
Phone: 2604903456

MIDWEST FERTILITY SPECIALISTS (NPI# 1215948971) 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) 1215948971
Entity Type Organization
Organization Name MIDWEST FERTILITY SPECIALISTS
Practice Address 2514 East Dupont Road
Suite 220
Fort Wayne
IN 46825
Mailing Address 12188 A N Meridian St
Suite 250
Carmel
IN 46032
Practice Telephone 2604903456
Practice Fax Number 2604904319
Mailing Telephone 3175711637
Mailing Fax Number 3175719483
Enumeration Date 2006-08-10
Last Update Date 2020-08-22
Authorized Official Name MR. JOHN J KOLODZEJ (ADMINISTRATOR)
Authorized Official Telephone 3175711637
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VE0102X Obstetrics & Gynecology
Specialization: Reproductive Endocrinology
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316955321 Midwest Fertility Specialists Obstetrics & Gynecology 12188a North Meridian Street, Suite 250, Carmel, IN 46032 2006-08-04
1063423721 Midwest Fertility Specialists Obstetrics & Gynecology 395 Westfield Road, Suite D, Noblesville, IN 46060 2006-08-10

Office Location

Street Address 2514 EAST DUPONT ROAD
SUITE 220
City FORT WAYNE
State IN
Zip Code 46825

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1306318175 Logan Alan Williams Nurse Anesthetist, Certified Registered 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 2018-12-18
1326582925 Mark F Stoner LLC Dentist 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 2016-12-15
1336695782 Nadine Rene' Handy Nurse Practitioner 3978 New Vision Dr., Fort Wayne, IN 46825 2016-08-26
1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
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Taxonomy Information

Taxonomy Code 207VE0102X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Reproductive Endocrinology

Taxonomy Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205151628 Erica Anspach Will Obstetrics & Gynecology 12188a N Meridian St Ste 250, Carmel, IN 46032-4426 2010-03-29
1083835730 Matthew Will Obstetrics & Gynecology 12188a North Meridian, Suite 250, Carmel, IN 46032 2007-05-01
1346340734 James G Donahue Obstetrics & Gynecology 8051 S Emerson, #460, Indianapolis, IN 46237 2006-09-25
1316955321 Midwest Fertility Specialists Obstetrics & Gynecology 12188a North Meridian Street, Suite 250, Carmel, IN 46032 2006-08-04
1205844131 Bradford Lee Bopp Obstetrics & Gynecology 12188 A North Meridian Street, Suite 250, Carmel, IN 46032 2006-08-04
1467827667 Indiana Fertility Associates, PC Obstetrics & Gynecology 10610 N Pennsylvania St, Indianapolis, IN 46280-2004 2015-12-14
1366796252 Boston Ivf Fertility Services At The Women's Hospital LLC Obstetrics & Gynecology 4199 Gateway Blvd, Suite 2600, Newburgh, IN 47630-8940 2012-10-31
1265736904 Deaconess Women's Hospital of Southern Indiana Obstetrics & Gynecology 4199 Gateway Blvd, Suite 2900, Newburgh, IN 47630-8940 2011-01-10
1497989594 Community Hospitals of Indiana Inc Obstetrics & Gynecology 7250 Clearvista Drive, Suite 365, Indianapolis, IN 46256-4644 2009-05-05
1265682413 Reproductive Care of Indiana Obstetrics & Gynecology 201 Pennsylvania Pkwy, Suite 310, Indianapolis, IN 46280-2301 2008-09-24
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City FORT WAYNE
Zip Code 46825

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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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