QHG OF FORT WAYNE, INC D/B/A REDIMED (NPI# 1568563211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568563211 |
| Entity Type | Organization |
| Organization Name | QHG OF FORT WAYNE, INC D/B/A REDIMED |
| Other Organization Name | REDIMED/BUSINESS HEALTH SERVICES |
| Practice Address |
10313 Aboite Center Rd Fort Wayne IN 46804-5435 |
| Mailing Address |
7333 W Jefferson Blvd Fort Wayne IN 46804-6280 |
| Practice Telephone | 2609691411 |
| Practice Fax Number | 2609691415 |
| Mailing Telephone | 2604356230 |
| Mailing Fax Number | 2604357747 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL R KONOW (CEO) |
| Authorized Official Telephone | 2604357841 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RediMed/Business Health Services | Doing Business As Name - Organization |
| Street Address |
10313 ABOITE CENTER RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174173157 | Casey N Williams | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-09-12 |
| 1255984308 | Marrius D Jones | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-07-18 |
| 1548813694 | Paige M Fisher | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-07-18 |
| 1275186322 | Ariel A Shaneyfelt | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-07-18 |
| 1578129979 | Bradly M Daniels | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-05-13 |
| 1912563321 | Sophia T Jones | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-05-13 |
| 1932765211 | Micaiah J Caudill | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-05-13 |
| 1750947032 | Brittney A Johnson | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-05-13 |
| 1205492600 | Andrea K Emenhiser | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-05-13 |
| 1013571066 | Alyssa R Smith | Behavior Technician | 10313 Aboite Center Rd, Fort Wayne, IN 46804-5435 | 2019-04-25 |
| 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 | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086914 | Core Physical Therapy LLC | Clinic/Center | 415 E Cook Rd Ste 600, Fort Wayne, IN 46825-3657 | 2019-01-03 |
| 1548772973 | Fort Wayne Seating & Rehab Corporation | Clinic/Center | 7125 Hanna St Ste 249, Fort Wayne, IN 46816-1166 | 2017-10-25 |
| 1033305750 | Hands On Physical Therapy, LLC | Clinic/Center | 312 E Dupont Rd Ste 101, Fort Wayne, IN 46825 | 2007-09-17 |
| 1083714505 | National Rehabilitation Care | Clinic/Center | 6642 Saint Joe Rd, Fort Wayne, IN 46835-1933 | 2006-09-24 |
| 1891730248 | Integrity Physical Therapy Inc | Clinic/Center | 7563 W Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2006-06-19 |
| 1992101638 | Indiana Physical Therapy, Inc | Clinic/Center | 10021 Dupont Circle Court, Fort Wayne, IN 46825 | 2014-11-07 |
| 1154523132 | Patient First Rehabilitation LLC | Clinic/Center | 10205 Hickory Valley Dr, Fort Wayne, IN 46835-9558 | 2007-06-02 |
| 1043347735 | Physiotherapy Associates Inc | Clinic/Center | 1234 E Dupont Rd, #7, Fort Wayne, IN 46825-1545 | 2007-02-28 |
| 1023164423 | Healthy Expectations, Inc | Clinic/Center | 3844 New Vision Dr, Fort Wayne, IN 46845-1708 | 2007-01-26 |
| 1083789051 | Physiotherapy Associates Inc | Clinic/Center | 6721 Old Trail Rd Ste 200, Fort Wayne, IN 46809-2638 | 2006-11-22 |
| 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, INC D/B/A REDIMED.
| 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.