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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | PHP | 1734 | 01 |
IN | 100082350A | 05 | |
IN | ANTHEM PIN | 000000091644 | 01 |
IN | 200141300A | 05 |
Street Address |
7802 W JEFFERSON BLVD |
City | FORT WAYNE |
State | IN |
Zip Code | 46804-4138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710422746 | Directclinic LLC | Clinic/Center | 7802 W Jefferson Blvd, Fort Wayne, IN 46804-4138 | 2016-12-29 |
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 | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
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. |
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 |
City | FORT WAYNE |
Zip Code | 46804 |
Please comment or provide details below to improve the information on OBSTETRICS AND GYNECOLOGY ASSOCIATES OF FORT WAYNE PC.
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.