DR. SHOBANA PANDIAN (NPI# 1619940970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619940970 |
| Entity Type | Individual |
| Full Name | DR. SHOBANA PANDIAN |
| Practice Address |
10515 Illinois Rd Fort Wayne IN 46814 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2890 |
| Practice Telephone | 2603739200 |
| Practice Fax Number | 2603739219 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 01058626A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200856050 | 05 | |
| IN | ANTHEM | 000000658068 | 01 |
| IN | MEDICARE | 146470C5 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13121 Olio Rd Ste 260, Fishers, IN 460377239 | 3176217337 | |
| 13121 Olio Rd Ste 340, Fishers, IN 460377240 | 3176213418 |
| Street Address |
10515 ILLINOIS RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528043056 | William J. Aeschliman | Family Medicine | 10515 Illinois Rd, Fort Wayne, IN 46814-9182 | 2005-12-07 |
| 1194053355 | Suzanne M Pattison | Dietitian, Registered | 10515 Illinois Rd, Fort Wayne, IN 46814-9182 | 2009-11-30 |
| 1063663276 | Meghann Elizabeth Whetstone | Dietitian, Registered | 10515 Illinois Rd, Fort Wayne, IN 46814-9182 | 2008-10-07 |
| 1891958682 | Kristin Dyan Will | Pediatrics | 10515 Illinois Rd, Fort Wayne, IN 46814-9182 | 2008-07-02 |
| 1548421928 | Miles C Nitz | Marriage & Family Therapist | 10515 Illinois Rd, Fort Wayne, IN 46814-9182 | 2008-06-19 |
| 1275737249 | Reshma R Khatri | Pediatrics | 10515 Illinois Rd, Fort Wayne, IN 46814-9182 | 2007-06-13 |
| 1306910252 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 10515 Illinois Rd, Fort Wayne, IN 46814-9182 | 2006-11-20 |
| 1487675047 | Michelle Marie Collins-austin | Family Medicine | 10515 Illinois Rd, Fort Wayne, IN 46814-9182 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256907 | Kimberly Ann Bailey | Social Worker | 5310 Merchandise Dr., Fort Wayne, IN 46814 | 2017-07-03 |
| 1821229998 | Back In Action Chiropractic | Chiropractor | 10443 Llinois Road, Fort Wayne, IN 46814 | 2009-08-06 |
| 1376789420 | Richard Frederick Fox | Radiology | 6226 Devils Hollow Rd., Fort Wayne, IN 46814 | 2008-12-19 |
| 1225287998 | George W. Bowers | Urology | 12002 Haddington Court, Fort Wayne, IN 46814 | 2008-09-17 |
| 1588831986 | Xue Zhang | Family Medicine | 10515 Illimois Rd, Fort Wayne, IN 46814 | 2008-05-14 |
| 1245449172 | Charles S Lindzy | Anesthesiology | 14104 Peddlers Ford, Fort Wayne, IN 46814 | 2007-05-21 |
| 1043338999 | Aboite Township Fire Dept In | Ambulance | 11321 Aboite Center Rd, Fort Wayne, IN 46814 | 2007-03-27 |
| 1588748206 | Lisa Renee Vachon | Chiropractor | 971 Chestnut Hills Pkwy, Ft Wayne, IN 46814 | 2006-10-25 |
| 1962586685 | Daniel Vern Velliquette | Chiropractor | 971 Chestnut Hills Parkway, Fort Wayne, IN 46814 | 2006-10-25 |
| 1336255801 | Erica L Walworth | Marriage & Family Therapist | 412 S Scott Rd, Fort Wayne, IN 46814 | 2006-08-21 |
| Find all providers in zip 46814 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538554399 | Allison Soldner | Pediatrics | 2810 Dupont Commerce Ct, Fort Wayne, IN 46825 | 2015-03-30 |
| 1689939191 | Katherine Elizabeth Welch | Pediatrics | 3308 Rosewood Dr, Fort Wayne, IN 46804-6110 | 2012-07-10 |
| 1881847721 | William C. Ashman | Pediatrics | 6750 Covington Creek Trail, Fort Wayne, IN 46804 | 2008-10-23 |
| 1114061231 | Lalitha Sayed | Pediatrics | 3030 Lake Ave Ste 10, Fort Wayne, IN 46805-5428 | 2007-02-20 |
| 1013077825 | Lindsay M Ligler | Pediatrics | 2514 E. Dupont Rd, Fort Wayne, IN 46825 | 2006-12-11 |
| 1275546913 | Christopher Philip Tallo | Pediatrics | 2510 East Dupont Road, Suite 236, Fort Wayne, IN 46825 | 2006-08-14 |
| 1982614343 | Lynda K Otto | Pediatrics | 2402 Lake Ave, Fort Wayne, IN 46805-5406 | 2006-08-09 |
| 1013936814 | Michael Philip Dick | Pediatrics | 3898 New Vision Dr, Fort Wayne, IN 46845 | 2006-07-19 |
| 1881678860 | Northeast Indiana Genetic Counseling Center Inc | Pediatrics | 11143 Parkview Plaza Dr, Ste. 311, Fort Wayne, IN 46845-1701 | 2005-12-02 |
| 1932106317 | Jayesh P Patel | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-06-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46814 |
Please comment or provide details below to improve the information on DR. SHOBANA PANDIAN.
| 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.