PARKVIEW HEALTH SYSTEM, INC. (NPI# 1407923451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407923451 |
| Entity Type | Organization |
| Organization Name | PARKVIEW HEALTH SYSTEM, INC. |
| Other Organization Name | PFC-LAKE |
| Practice Address |
2710 Lake Ave Fort Wayne IN 46805-5412 |
| Mailing Address |
1234 E Dupont Rd Suite 3 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2603738070 |
| Practice Fax Number | 2603738071 |
| Mailing Telephone | 2603739700 |
| Mailing Fax Number | 2603739740 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-10-19 |
| Authorized Official Name | MR. MARK NAFZIGER (EXECUTIVE VP -- CFO) |
| Authorized Official Telephone | 2603737008 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARKVIEW HEALTH SYSTEM, INC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| PFC-Lake | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1922379726 | Parkview Health System, Inc. | Internal Medicine | 11141 Parkviewplaza Dr., 210, Fort Wayne, IN 46845-1714 | 2012-01-25 |
| 1346487444 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 401 Sawyer Road, Suite B, Kendallville, IN 46755-2568 | 2009-01-12 |
| 1366689416 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 524 Branch Court, Columbia City, IN 46725-1323 | 2009-01-12 |
| 1629215777 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 1844 Ida Red Road, Kendallville, IN 46755-2873 | 2009-01-12 |
| 1043457104 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 353 N. Oak Street, Columbia City, IN 46725-1623 | 2009-01-12 |
| 1457598633 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 5110 N. Clinton St., Suite 7, Fort Wayne, IN 46825-5735 | 2009-01-09 |
| 1801032248 | Parkview Health System, Inc. | Podiatrist | 306 Maumee St, Suite 2, Angola, IN 46703-2035 | 2009-01-06 |
| 1629214069 | Parkview Health System, Inc. | Podiatrist | 410 E. Mitchell St., Kendallville, IN 46755-1890 | 2009-01-06 |
| 1851545560 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 6130 Trier Rd., Fort Wayne, IN 46815-5339 | 2008-11-07 |
| Street Address |
2710 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457349201 | Mark C. Dickmeyer | Family Medicine | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2005-10-06 |
| 1609437425 | Sherri Sue Albertson | Nurse Practitioner | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2019-06-24 |
| 1134555634 | Deborah Abaitey | Pediatrics | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2013-09-17 |
| 1568808160 | Kayla Bauman | Nurse Practitioner | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2013-05-22 |
| 1174885040 | Brianna M Serbus | Family Medicine | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2012-06-15 |
| 1548349871 | Wiacheslaw William Fedoriw | Pediatrics | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2006-11-06 |
| 1164409579 | Donald B. Marshall II | Family Medicine | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2005-12-28 |
| 1336126895 | Steven J. Mooibroek | Internal Medicine | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2005-12-27 |
| 1760469233 | Mark A. Pierce | Internal Medicine | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2005-12-27 |
| 1871579441 | Cheryl L. Hess | Family Medicine | 2710 Lake Ave, Fort Wayne, IN 46805-5412 | 2005-12-15 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261897 | J & Y Medical LLC | Durable Medical Equipment & Medical Supplies | 227 E Dupont Rd, Fort Wayne, IN 46825-2047 | 2020-09-29 |
| 1023658283 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 436 E Washington Blvd Ste P, Fort Wayne, IN 46802-3210 | 2020-01-15 |
| 1972036481 | Darah Medical Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 4206 Flagstaff Cv, Fort Wayne, IN 46815-4417 | 2017-04-11 |
| 1558749408 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2100 Goshen Rd Ste 111, Fort Wayne, IN 46808-1493 | 2015-05-12 |
| 1679979363 | Apsco | Durable Medical Equipment & Medical Supplies | 3710 Piper Dr, Fort Wayne, IN 46809-3121 | 2014-11-07 |
| 1720404577 | James Medical Rents & Sales, Inc. | Durable Medical Equipment & Medical Supplies | 7107 W Jefferson Blvd, Fort Wayne, IN 46804-6235 | 2014-03-17 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043658701 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 4225 Hobson Rd, Fort Wayne, IN 46815-4506 | 2013-06-04 |
| 1811232614 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1515 Profit Dr, Fort Wayne, IN 46808-1172 | 2012-12-05 |
| 1174893978 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 10301 E State Road 37, Fort Wayne, IN 46835-9591 | 2012-01-10 |
| Find all providers in FORT WAYNE | ||||
| 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.