QHG OF FORT WAYNE COMPANY LLC (NPI# 1518909985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518909985 |
| Entity Type | Organization |
| Organization Name | QHG OF FORT WAYNE COMPANY LLC |
| Practice Address |
7333 W Jefferson Blvd Fort Wayne IN 46804-6280 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 2604357334 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619918026 | Qhg of Fort Wayne Company LLC | Physical Therapist | 11635 Coldwater Rd, Fort Wayne, IN 46845-1256 | 2006-06-08 |
| 1083656573 | Qhg of Fort Wayne Company LLC | General Practice | 3717 Maplecrest Rd, Fort Wayne, IN 46815-8424 | 2006-06-11 |
| 1952349896 | Qhg of Fort Wayne Company LLC | Clinic/Center | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-03 |
| Street Address |
7333 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-6280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778753 | Deborah S Castile | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2005-05-23 |
| 1487264818 | Holly Bowman | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-07-31 |
| 1598387904 | Krystal Marie Li | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-05-08 |
| 1245850106 | Kimberly A. Burns | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-04-21 |
| 1497375356 | Stacey M. Krick | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2020-04-21 |
| 1619519915 | Liece Laurens | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2019-10-08 |
| 1689226797 | Crista Randol | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2019-07-10 |
| 1780156299 | Jenna Marie Waterman | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6202 | 2018-12-21 |
| 1063982973 | Hannah Victoria Duggan | Physician Assistant | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2018-12-04 |
| 1548746837 | Jodi Grover | Nurse Practitioner | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2018-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1801138102 | Family Health Practitioners, LLC | General Practice | 909 River Oak Run, Fort Wayne, IN 46804-3543 | 2013-03-25 |
| 1679836910 | Innovative Professional Service LLC | General Practice | 3464 Stellhorn Rd, Fort Wayne, IN 46815-4630 | 2012-06-21 |
| 1003134123 | Aptcare In 1 | General Practice | 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845-1908 | 2010-05-13 |
| 1104395680 | Regen Med of Indiana LLC | General Practice | 5931 Stoney Creek Dr, Fort Wayne, IN 46825-4401 | 2018-11-14 |
| 1750743381 | Aptcare LLC | General Practice | 11718 Woodstream Ridge Ct, Fort Wayne, IN 46845-1908 | 2016-03-23 |
| 1619044047 | Robert L Arnold Dds Inc | General Practice | 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3437 | 2006-11-29 |
| 1083726848 | Robert L Arnold | General Practice | 5800 Fairfield Ave, Suite 220, Fort Wayne, IN 46807-3437 | 2006-08-31 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on QHG OF FORT WAYNE COMPANY 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.