ALLIED PHYSICIANS INC (NPI# 1649478744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649478744 |
| Entity Type | Organization |
| Organization Name | ALLIED PHYSICIANS INC |
| Other Organization Name | FORT WAYNE NEUROPSYCHOLOGY |
| Practice Address |
11104 Parkview Circle Dr Ste 110 Fort Wayne IN 46845-1730 |
| Practice Telephone | 2604603100 |
| Mailing Telephone | 2604603100 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | W BARRY KUNKLE (CEO) |
| Authorized Official Telephone | 2603994704 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100277310 | 05 | |
| IN | RAILROAD MEDICARE | CC1549 | 01 |
| OH | 0515955 | 05 |
| Other Name | Type Code |
|---|---|
| Fort Wayne NeuroPsychology | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1366433369 | Allied Physicians Inc | Clinical Neuropsychologist | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-31 |
| Street Address |
11104 PARKVIEW CIRCLE DR STE 110 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621641 | Thomas J. Curfman | Psychiatry & Neurology | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1174124143 | Ellen Nicole Eckhart | Physical Therapist | 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 | 2020-11-05 |
| 1912508169 | Bryson James Robuck | Registered Nurse | 11104 Parkview Circle Dr, Fort Wayne, IN 46845-1672 | 2020-11-04 |
| 1568062644 | Brandi Nicolette-baker | Occupational Therapist | 11104 Parkview Circle Dr, Suite 050, Fort Wayne, IN 46845-1733 | 2020-10-28 |
| 1649723818 | April Jeanne Jenkins | Nurse Practitioner | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1673 | 2016-07-25 |
| 1497111991 | Janelle Miller | Nurse Practitioner | 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 | 2016-01-13 |
| 1770957680 | Kathleen O'keefe | Registered Nurse | 11104 Parkview Circle Dr, Ste. 310, Fort Wayne, IN 46845-1672 | 2015-11-17 |
| 1114302056 | Christy Ann Auld | Nurse Practitioner | 11104 Parkview Circle Dr, Suite 410, Fort Wayne, IN 46845-1672 | 2015-07-21 |
| 1790169233 | Blair Fifer | Nurse Practitioner | 11104 Parkview Circle Dr, Suite 310, Fort Wayne, IN 46845-1672 | 2015-07-15 |
| 1013318427 | Andrea Jantson Smith | Physical Therapist | 11104 Parkview Circle Dr, Fort Wayne, IN 46845 | 2014-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619275807 | Renee Elizabeth Buskirk | Clinical Neuropsychologist | 11143 Parkview Plaza Dr Ste 207, Fort Wayne, IN 46845-1728 | 2011-03-11 |
| 1780681254 | Frances R. Goff | Clinical Neuropsychologist | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1972508471 | Matthew Paul Ziccardi | Clinical Neuropsychologist | 2200 Randallia Dr, Fort Wayne, IN 46805 | 2005-06-20 |
| 1366911000 | Margarita M Nogin | Clinical Neuropsychologist | 4306 E State Blvd, Fort Wayne, IN 46815-6915 | 2018-11-23 |
| 1699196519 | Erin Miles | Clinical Neuropsychologist | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2013-12-19 |
| 1164860052 | Jacob Thomas Lutz | Clinical Neuropsychologist | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2013-06-13 |
| 1689995334 | Allied Physicians Inc | Clinical Neuropsychologist | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2010-06-17 |
| 1669701793 | Christina M. Stemmler | Clinical Neuropsychologist | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2009-12-21 |
| 1841524105 | Nivonne Thompson | Clinical Neuropsychologist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2009-09-18 |
| 1205098100 | Allied Physicians Inc | Clinical Neuropsychologist | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2008-07-01 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.