ANN E RADEMAKER (NPI# 1457343436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457343436 |
| Entity Type | Individual |
| Full Name | ANN E RADEMAKER |
| Other Name | ANN E TINKLE |
| Credential | NP |
| Practice Address |
11108 Parkview Circle Dr Attention: Polly Baloski Fort Wayne IN 46845-1730 |
| Mailing Address |
1234 E Dupont Rd Suite 3 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2602665700 |
| Practice Fax Number | 2602665920 |
| Mailing Telephone | 2603737875 |
| Mailing Fax Number | 2603739705 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2013-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71001857A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | R.R. MEDICARE | P00825411 | 01 |
| IN | ANTHEM | 000000641096 | 01 |
| IN | 200507030 | 05 |
| Street Address |
11108 PARKVIEW CIRCLE DR ATTENTION: POLLY BALOSKI |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710986443 | Lawrence E Gering | Internal Medicine | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2005-07-15 |
| 1477106326 | Ashika R Thanju | Registered Nurse | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2019-07-19 |
| 1003469925 | Shannon L Decker | Registered Nurse | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2019-07-19 |
| 1023596350 | Maryam Noureldin | Pharmacist | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2018-07-30 |
| 1831676576 | Rosanne Wuthrich | Pharmacist | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2018-07-25 |
| 1720579329 | Anne Marie Dietz | Dietitian, Registered | 11108 Parkview Circle Dr, Fort Wayne, IN 46845 | 2018-05-20 |
| 1760998843 | Amanda M Gilbert | Registered Nurse | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2017-12-27 |
| 1336682723 | Kaitlyn D Brita | Registered Nurse | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2016-12-02 |
| 1467853523 | Kayla Burns | Physician Assistant | 11108 Parkview Circle Dr, Suite 5100, Fort Wayne, IN 46845-1730 | 2014-09-09 |
| 1649688870 | Heather Kountouris | Pharmacist | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2014-07-31 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548626229 | Tina Duncan | Nurse Practitioner | 6732 Covington Creek Trl, Fort Wayne, IN 46804-2870 | 2016-01-11 |
| 1538486691 | Rounding Providers | Nurse Practitioner | 14411 Smugglers Notch, Fort Wayne, IN 46814-8701 | 2010-04-29 |
| 1245428366 | Damon Greven | Nurse Practitioner | 2512 E Dupont Rd Ste 100, Fort Wayne, IN 46825-1609 | 2007-10-15 |
| 1467658740 | Kimberly E Recht | Nurse Practitioner | 11108 Parkview Circle, Suite 5100, Fort Wayne, IN 46845 | 2007-06-25 |
| 1083827539 | Ruth Elaine Wartell | Nurse Practitioner | 8107 Tranquilla Pl, Fort Wayne, IN 46815-5781 | 2007-05-08 |
| 1285756874 | Timothy John Murphy | Nurse Practitioner | 3617 Rockwood Dr, Fort Wayne, IN 46815-6144 | 2007-04-04 |
| 1962490839 | Peggy A Ryan | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2005-10-13 |
| 1265095897 | Ashley Kamea Lynn Brown | Nurse Practitioner | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 | 2019-04-18 |
| 1104398833 | Jessica Marie Bolton | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815 | 2018-12-19 |
| 1750868568 | Shannon E Sitgreaves | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2018-07-24 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on ANN E RADEMAKER.
| 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.