ALLIED PHYSICIANS INC (NPI# 1609867605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609867605 |
| Entity Type | Organization |
| Organization Name | ALLIED PHYSICIANS INC |
| Other Organization Name | FORT WAYNE NEUROLOGY |
| Practice Address |
2510 E Dupont Rd Ste 226 Fort Wayne IN 46825-1603 |
| Mailing Address |
7956 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Practice Telephone | 2604603100 |
| Practice Fax Number | 2604603130 |
| Mailing Telephone | 2604362416 |
| Mailing Fax Number | 2604369662 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2018-12-07 |
| Authorized Official Name | ISA S CANAVATI (PRESIDENT) |
| Authorized Official Telephone | 2604362416 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100277310 | 05 | |
| OH | 0515955 | 05 | |
| IN | RAILROAD MEDICARE | CC1549 | 01 |
| Other Name | Type Code |
|---|---|
| Fort Wayne Neurology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7223 Engle Rd Ste 110b, Fort Wayne, IN 468042239 | 2604201935 | 2604201876 |
| 7956 W Jefferson Blvd, Fort Wayne, IN 468044140 | 2604362416 | 2604369662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265601041 | Allied Physicians Inc | Physical Medicine & Rehabilitation | 2512 E Dupont Rd Ste 120, Fort Wayne, IN 46825-1609 | 2008-02-26 |
| 1922433614 | Allied Physicians Inc | Ophthalmology | 2510 E Dupont Rd Ste 128, Fort Wayne, IN 46825-1603 | 2013-09-12 |
| 1689995334 | Allied Physicians Inc | Clinical Neuropsychologist | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2010-06-17 |
| 1205098100 | Allied Physicians Inc | Clinical Neuropsychologist | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2008-07-01 |
| 1124297379 | Allied Physicians Inc | Neurological Surgery | 2622 Lake Ave, Fort Wayne, IN 46805-5410 | 2008-02-21 |
| 1649478744 | Allied Physicians Inc | Psychologist | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2007-07-10 |
| 1083833297 | Allied Physicians Inc | Physical Medicine & Rehabilitation | 5750 Coventry Ln, Suite 101, Fort Wayne, IN 46804-7166 | 2007-04-25 |
| 1992741698 | Allied Physicians Inc | Otolaryngology | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 | 2006-06-21 |
| 1427031434 | Allied Physicians Inc | Audiologist | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 | 2005-11-23 |
| 1366433476 | Allied Physicians Inc | Transplant Surgery | 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804-4159 | 2005-10-31 |
| Street Address |
2510 E DUPONT RD STE 226 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540823 | Madhav H. Bhat | Psychiatry & Neurology | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2005-06-30 |
| 1497130272 | Pamela L Mcmaster | Registered Nurse | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2015-07-22 |
| 1417907189 | Stacy L Johnson | Nurse Practitioner | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2006-05-11 |
| 1487651873 | Ajay S Gupta | Psychiatry & Neurology | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480800 | Bhupendra K Shah | Psychiatry & Neurology | 2452 Lake Ave, Fort Wayne, IN 46805-5406 | 2005-07-12 |
| 1184621641 | Thomas J. Curfman | Psychiatry & Neurology | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1376540823 | Madhav H. Bhat | Psychiatry & Neurology | 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 | 2005-06-30 |
| 1508863051 | Thomas M. Banas | Psychiatry & Neurology | 7956 West Jefferson Blvd, Fort Wayne, IN 46804-4159 | 2005-06-30 |
| 1093102022 | Leah Dickstein | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2015-04-16 |
| 1316366735 | Christopher Vachon | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804 | 2014-04-14 |
| 1467728378 | Usman Kareem Qadeer | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2012-03-25 |
| 1992091656 | Natalie Cornay Manalo | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-06-21 |
| 1083828719 | Marlene Clare Bultemeyer | Psychiatry & Neurology | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-05-10 |
| 1306050257 | John S. Pidgeon | Psychiatry & Neurology | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2007-05-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on ALLIED PHYSICIANS INC.
| 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.