SANDRA A KRIZMANICH (NPI# 1609047026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609047026 |
| Entity Type | Individual |
| Full Name | SANDRA A KRIZMANICH |
| Credential | MD |
| Practice Address |
7988 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Mailing Address |
2518 E Dupont Rd Fort Wayne IN 46825-1675 |
| Practice Telephone | 2604324400 |
| Practice Fax Number | 2609696898 |
| Mailing Telephone | 2604324400 |
| Mailing Fax Number | 2609696898 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2018-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
01069940A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201042800 | 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 |
| 1598961393 | Joshua Michael Wallet | Colon & Rectal Surgery | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-06-27 |
| 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 | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780970251 | Emily C Baltes | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2011-06-23 |
| 1174554554 | John Phillip Tyndall | Obstetrics & Gynecology | 1717 S Calhoun St, Fort Wayne, IN 46802-5257 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033443106 | Munster Medical Research Foundatio | Obstetrics & Gynecology | 3545 Arbors Street, Portage, IN 46368-4297 | 2009-09-23 |
| 1154468270 | Daniel H Davis | Obstetrics & Gynecology | 2450 Northpark, Suite A, Columbus, IN 47203 | 2007-01-30 |
| 1528174604 | Richard Lewis Hinchman | Obstetrics & Gynecology | 6756 Mcfarland Rd, Indianapolis, IN 46227-7718 | 2006-08-22 |
| 1154345775 | Cindy Maiden Basinski | Obstetrics & Gynecology | 4199 Gateway Blvd Ste 2200, Newburgh, IN 47630-8965 | 2006-07-27 |
| 1427094911 | Victoria L Potoczak | Obstetrics & Gynecology | 3618 S 4th St, Terre Haute, IN 47802-5543 | 2006-06-22 |
| 1376543926 | Patrick A Pontee | Obstetrics & Gynecology | 5500 Hohman Ave, Hammond, IN 46320-1965 | 2005-07-26 |
| 1417956756 | Starla D Graber | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2005-07-19 |
| 1528623824 | 219 Health Network Inc | Obstetrics & Gynecology | 3432 169th St, Hammond, IN 46323-2542 | 2019-05-02 |
| 1861937419 | Jennifer Irene Wakeland Bigelow Md | Obstetrics & Gynecology | 461 Town Center St N, Mooresville, IN 46158-2316 | 2017-01-05 |
| 1871974337 | Functional Medicine of Carmel Inc. | Obstetrics & Gynecology | 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 | 2015-06-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on SANDRA A KRIZMANICH.
| 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.