DR. MATTHEW PFISTER (NPI# 1396022489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396022489 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW PFISTER |
| Credential | MD |
| Practice Address |
11141 Parkview Plaza Dr Ste 305 Fort Wayne IN 46845-1715 |
| Mailing Address |
3702 New Vision Dr Ste B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2602668900 |
| Practice Fax Number | 2602668935 |
| Mailing Telephone | 2602661401 |
| Mailing Fax Number | 2604585734 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 01078725A | IN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2016-01266 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301099040 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1396022489 | 05 | |
| SC | NC2836 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2630 E 7th St, Charlotte, NC 282044318 | 7043559484 | 7044464983 |
| Street Address |
11141 PARKVIEW PLAZA DR STE 305 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726950 | Raymond A. Cava | Surgery | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2005-08-02 |
| 1497361927 | Amanda Renee Macias | Registered Nurse | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2020-09-21 |
| 1093278509 | Julianne E. Hunter | Registered Nurse | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2019-04-11 |
| 1235699521 | Danielle M Kammer | Registered Nurse | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2019-03-22 |
| 1467944892 | Megan Weber | Registered Nurse | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845 | 2018-06-01 |
| 1346614138 | Nicole B Shaw | Nurse Practitioner | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2015-11-17 |
| 1710387121 | Amy Pond | Physician Assistant | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845 | 2014-09-04 |
| 1770866808 | Megan E. Goetz | Nurse Practitioner | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845 | 2011-09-26 |
| 1841581931 | Sarah Yue Wang | Internal Medicine | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2011-04-25 |
| 1770801193 | Kristin Danielle Hummel | Surgery | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2010-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164482303 | Keith David Clancy | Surgery | 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804-4128 | 2006-03-23 |
| 1083683783 | Brett J. Guinn | Surgery | 2510 E Dupont Rd Ste 210, Fort Wayne, IN 46825-1602 | 2006-03-15 |
| 1194726950 | Raymond A. Cava | Surgery | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2005-08-02 |
| 1740289701 | Linda K Han | Surgery | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2005-07-20 |
| 1962405993 | David Allen Smith | Surgery | 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4182 | 2005-05-23 |
| 1295172682 | Lauren M Kopicky | Surgery | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2013-05-27 |
| 1861784449 | Preston Alden Gardner | Surgery | 7881 Carnegie Blvd, Fort Wayne, IN 46804 | 2011-05-13 |
| 1679891097 | Carey Lane Watson | Surgery | 7613 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-4182 | 2010-05-10 |
| 1770801193 | Kristin Danielle Hummel | Surgery | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2010-05-10 |
| 1265661383 | Dustin Jay Petersen | Surgery | 11141 Parkview Plaza Dr Ste 305, Fort Wayne, IN 46845-1715 | 2009-07-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.