OBSTETRICS AND GYNECOLOGY ASSOCIATES OF FORT WAYNE PC


Address: 7802 W Jefferson Blvd, Fort Wayne, IN 46804-4138
Phone: 2604592113

OBSTETRICS AND GYNECOLOGY ASSOCIATES OF FORT WAYNE PC (NPI# 1598806937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598806937
Entity Type Organization
Organization Name OBSTETRICS AND GYNECOLOGY ASSOCIATES OF FORT WAYNE PC
Practice Address 7802 W Jefferson Blvd
Fort Wayne
IN 46804-4138
Practice Telephone 2604592113
Practice Fax Number 2604596625
Mailing Telephone 2604592113
Mailing Fax Number 2604596625
Enumeration Date 2007-02-09
Last Update Date 2008-05-02
Authorized Official Name DR. JYOTHIRMAI K REDDY (PRESIDENT)
Authorized Official Telephone 2604592113
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN PHP 1734 01
IN 100082350A 05
IN ANTHEM PIN 000000091644 01
IN 200141300A 05

Office Location

Street Address 7802 W JEFFERSON BLVD
City FORT WAYNE
State IN
Zip Code 46804-4138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710422746 Directclinic LLC Clinic/Center 7802 W Jefferson Blvd, Fort Wayne, IN 46804-4138 2016-12-29

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609056779 Allen County Ob-gyn Associates, PC Obstetrics & Gynecology 800 Broadway Ste 315, Fort Wayne, IN 46802-2149 2007-11-06
1124063102 Judy L. Zacher Obstetrics & Gynecology 3974 New Vision Drive, Fort Wayne, IN 46845-1712 2006-06-16
1275515801 Jyothirmai K Reddy Obstetrics & Gynecology 7802 W. Jefferson Blvd, Fort Wayne, IN 46804 2005-11-18
1457341182 H N Ramaprakash Obstetrics & Gynecology 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 2005-10-25
1639168404 Kendra T Karner Obstetrics & Gynecology 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 2005-10-14
1568458990 Carolyn Warner Greer Obstetrics & Gynecology 1415 Directors Row, Fort Wayne, IN 46808 2005-09-21
1588659064 Tracy L Bellavance Obstetrics & Gynecology 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2005-09-12
1306838321 Althea J. Jackson Obstetrics & Gynecology 2510 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1600 2005-08-16
1255332664 Lora Overton Obstetrics & Gynecology 3217 Lake Ave, Fort Wayne, IN 46805-5427 2005-08-09
1285633990 Michele L Helfgott Obstetrics & Gynecology 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845-1707 2005-07-15
Find all providers in FORT WAYNE

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City FORT WAYNE
Zip Code 46804

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Dataset Information

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.

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