FORT WAYNE ORTHOPEDICS, LLC (NPI# 1518272665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518272665 |
| Entity Type | Organization |
| Organization Name | FORT WAYNE ORTHOPEDICS, LLC |
| Practice Address |
816 Main St Rochester IN 46975-1543 |
| Mailing Address |
Po Box 2526 Fort Wayne IN 46801-2526 |
| Practice Telephone | 2604368686 |
| Practice Fax Number | 2604590036 |
| Mailing Telephone | 2604368686 |
| Mailing Fax Number | 2604325075 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2013-11-27 |
| Authorized Official Name | JERALD L. COOPER (M.D./PRESIDENT) |
| Authorized Official Telephone | 2604368686 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
50002482 | IN | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
50002482 | IN | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
50002482 | IN | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
50002482 | IN | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | 50002482 | IN | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
50002482 | IN | Podiatric Medicine & Surgery Service Providers |
| N | 363A00000X | Physician Assistant | 50002482 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207X00000X | Orthopaedic Surgery | 50002482 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DME PTAN | 0162610006 | 01 |
| IN | 100210470 | 05 | |
| IN | 100210470A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043525009 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9058 | 2010-08-16 |
| 1881909935 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 207 N Townline Rd, Lagrange, IN 46761-1325 | 2010-08-13 |
| 1811202963 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 3816 New Vision Dr, Fort Wayne, IN 46845-1708 | 2010-08-13 |
| 1184939233 | Fort Wayne Orthopedics, LLC | Orthopaedic Surgery | 315 Lehman Ave, Topeka, IN 46571-9476 | 2010-08-13 |
| Street Address |
816 MAIN ST |
| City | ROCHESTER |
| State | IN |
| Zip Code | 46975-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789038 | Caitlin Barts-nunez | Dentist | 1360 E. 4th Street, Rochester, IN 46975 | 2016-06-02 |
| 1093117061 | Brittainey Neese | Pharmacist | 2240 E. Peace Tree Village, Rochester, IN 46975 | 2014-09-22 |
| 1437415460 | Benjamin O Adebayo | Obstetrics & Gynecology | 1400 East 9th S, Rochester, IN 46975 | 2012-04-04 |
| 1679779367 | Hope Hospice, Inc. | Home Health | 2316 E State Rd 14, Rochester, IN 46975 | 2007-06-21 |
| 1356405526 | Woodlawn Hospital | Durable Medical Equipment & Medical Supplies | 2310 E State Road 14, Rochester, IN 46975 | 2006-12-21 |
| 1134297930 | Timothy Ravencroft | Dentist | 115 E 7th Street, Rochester, IN 46975 | 2006-12-01 |
| 1720172349 | Patricia J Heiden | Social Worker | 618 E. Ninth St., Rochester, IN 46975 | 2006-10-03 |
| 1760583355 | Julius Salazar Sitjar | Internal Medicine | 2671 Ft Wayne Rd, Rochester, IN 46975 | 2006-09-26 |
| 1922016260 | Hubert Ray Hazen | Dentist | 1329 Main Street, Rochester, IN 46975 | 2006-08-03 |
| 1366401812 | Cynthia A Laycock | Optometrist | 2260 Main St., Rochester, IN 46975 | 2006-03-22 |
| Find all providers in zip 46975 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962982538 | University Orthopaedic Associates of Rochester | Orthopaedic Surgery | 10 S Pointe Lndg Ste 100, Rochester, NY 14606-3481 | 2018-08-14 |
| 1568713584 | A. Ronald Rook | Orthopaedic Surgery | 2660 Fairway Ct, Rochester, MI 48306-4953 | 2012-10-01 |
| 1245588680 | Louis C Okafor | Orthopaedic Surgery | 41 Stewart St, Apartment A, Rochester, NY 14620-2822 | 2012-08-15 |
| 1417249541 | Sandeep Paul Soin | Orthopaedic Surgery | 4901 Lac De Ville Blvd Bldg D, Rochester, NY 14618-5647 | 2011-05-08 |
| 1588956601 | Michael C M Yip | Orthopaedic Surgery | The Linden Oaks Medical Campus, 30 Hagen Drive, Suite 22, Rochester, NY 14625-2658 | 2011-05-08 |
| 1083903371 | Matthew C Bessette | Orthopaedic Surgery | 20 Hagen Dr Ste 110, Rochester, NY 14625-2665 | 2011-04-07 |
| 1467606939 | Sherwin Goldman | Orthopaedic Surgery | 715 Woodhaven Ct Ne, Rochester, MN 55906-6936 | 2008-11-11 |
| 1679722888 | John Steven Papakonstantinou | Orthopaedic Surgery | 1135 W. University Dr, Suite 100, Rochester, MI 48307 | 2008-09-11 |
| 1750549143 | Susan M Mcdowell | Orthopaedic Surgery | 601 Elmwood Ave, Box 665, Rochester, NY 14642 | 2008-06-02 |
| 1407045602 | Nicholas S. Papakonstantinou | Orthopaedic Surgery | 1135 W. University Dr., Rochester, MI 48307 | 2007-10-24 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on FORT WAYNE ORTHOPEDICS, LLC.
| 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.