JOSHUA MICHAEL WALLET (NPI# 1598961393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598961393 |
| Entity Type | Individual |
| Full Name | JOSHUA MICHAEL WALLET |
| Credential | M.D. |
| Practice Address |
7988 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Mailing Address |
2518 E Dupont Rd Fort Wayne IN 46825-1675 |
| Practice Telephone | 2604360259 |
| Practice Fax Number | 2604360784 |
| Mailing Telephone | 2604324400 |
| Mailing Fax Number | 2609696833 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 01071141A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201134520 | 05 |
| Street Address |
7988 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659064 | Tracy L Bellavance | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-09-12 |
| 1609277490 | Caroline Calvert | Nurse Practitioner | 7988 W Jefferson Blvd, Suite 325, Fort Wayne, IN 46804-4140 | 2014-09-11 |
| 1609047026 | Sandra A Krizmanich | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2008-03-13 |
| 1265636138 | Charles Lamont Morrison | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-06-13 |
| 1972685543 | Nina P Levenda | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-10-20 |
| 1821184052 | Nadine L Floyd | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-10-05 |
| 1619967031 | Amy Weaver | Nurse Practitioner | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-26 |
| 1235129859 | Keith R Davis | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-25 |
| 1629068291 | Staci L Wall | Registered Nurse | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-25 |
| 1679563399 | Lucia A. Fouts Grubbs | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-25 |
| 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 | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| 1568795409 | Center for Colon and Rectal Care LLC | Colon & Rectal Surgery | 12012 Wood Glen Dr, Fort Wayne, IN 46814-4515 | 2009-09-10 |
| 1740689207 | Associated Surgeons & Physicians, LLC | Colon & Rectal Surgery | 7910 W Jefferson Blvd, Suite 305, Fort Wayne, IN 46804-4159 | 2014-08-20 |
| 1639451578 | Vemuru Sunil Kumar Reddy | Colon & Rectal Surgery | 11104 Parkview Circle Dr Ste 320, Fort Wayne, IN 46845-1672 | 2011-09-16 |
| 1104026657 | Colon-rectal Surgeons of Fort Wayne, PC | Colon & Rectal Surgery | 7900 W Jefferson Blvd, Suite 302, Fort Wayne, IN 46804-4128 | 2007-07-23 |
| 1265636138 | Charles Lamont Morrison | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-06-13 |
| 1477676658 | Hisham S Elhassan | Colon & Rectal Surgery | 11141 Parkview Plaza Dr, Suite 310, Fort Wayne, IN 46845-1701 | 2007-04-10 |
| 1346336575 | Glenn L Goldstein | Colon & Rectal Surgery | 7900 W Jefferson Blvd, Suite 302, Fort Wayne, IN 46804-4128 | 2006-10-05 |
| 1821184052 | Nadine L Floyd | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-10-05 |
| 1912998014 | Northeast Indiana Colon Rectal Surgeons PC | Colon & Rectal Surgery | 11141 Parkview Plaza Dr, Suite 310, Fort Wayne, IN 46845-1701 | 2005-10-31 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| 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.