MR. STANLEY JAMES VOTAW (NPI# 1407869787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407869787 |
| Entity Type | Individual |
| Full Name | MR. STANLEY JAMES VOTAW |
| Credential | PHARMACIST |
| Practice Address |
2121 Lake Ave Fort Wayne IN 46805-5100 |
| Mailing Address |
1040 Twin Lakes Dr Decatur IN 46733-2610 |
| Practice Telephone | 2604265431 |
| Mailing Telephone | 2607243325 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 26014636 | IN | Hospitals |
| Street Address |
2121 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021100 | Karen F Sloane | Podiatrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2005-05-24 |
| 1346848348 | Jodi Lyn Van Veld | Occupational Therapist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-10-12 |
| 1346854213 | Amy Solaro | Social Worker | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-09-08 |
| 1144831116 | Ann Marie Brunner | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-13 |
| 1871104042 | Lynne Koch | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1790396950 | Joseph Amin Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1144831678 | Youlijan Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-10 |
| 1881204139 | Lawrence Ejiofo | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-03 |
| 1821606575 | Nazret Tecle | Optometrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-07-20 |
| 1689291619 | Adam Kreiger | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316324403 | Indiana Spine Hospital, LLC | Special Hospital | 13219 N. Meridian St, Carmel, IN 46032-5480 | 2015-04-28 |
| 1437407848 | Michael T Sahm | Special Hospital | 3300 Prague Rd, Indianapolis, IN 46227-7010 | 2012-08-16 |
| 1538441340 | Walgreen | Special Hospital | 1835 Pemberton Ln, Indianapolis, IN 46260-1577 | 2011-09-16 |
| 1720374374 | O'hana Heritage Foundation Inc | Special Hospital | 53131 Quince Rd, South Bend, IN 46628-9691 | 2011-06-22 |
| 1538460191 | Indiana University Medical Center | Special Hospital | 927 Paca St, Indianapolis, IN 46202-2914 | 2010-11-12 |
| 1568629178 | Indiana University School of Medicine | Special Hospital | 4024 Eldor Flower Dr, Zionsville, IN 46077-8585 | 2008-05-21 |
| 1285822023 | Yu-fan Kelly | Special Hospital | 1481 W 10th St # 116p, Indianapolis, IN 46202-2803 | 2007-10-05 |
| 1235150418 | Renaissance Specialty Hospital of Central Indiana Operations Co LLC | Special Hospital | 2401 University Ave 8th Floor North Tower, Muncie, IN 47303-3428 | 2006-07-22 |
| 1356698187 | St. Vincents Sports Performance | Special Hospital | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2012-08-10 |
| 1568740223 | St Vincent Medical Group, Inc | Special Hospital | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-07-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
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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.