QHG OF FORT WAYNE, INC. (NPI# 1710185137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710185137 |
Entity Type | Organization |
Organization Name | QHG OF FORT WAYNE, INC. |
Other Organization Name | REDIMED AND BUSINESS HEALTH SERVICES |
Practice Address |
315 E Cook Rd Business Health Office Fort Wayne IN 46825-3311 |
Mailing Address |
7333 W Jefferson Blvd Fort Wayne IN 46804-6280 |
Practice Telephone | 2609692013 |
Practice Fax Number | 2604899851 |
Mailing Telephone | 2604357839 |
Mailing Fax Number | 2604357747 |
Enumeration Date | 2007-07-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DANIEL R KONOW (CEO) |
Authorized Official Telephone | 2604357841 |
Authorized Official Credential | PA-C |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
RediMed and Business Health Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619195815 | Qhg of Fort Wayne, Inc. | Clinic/Center | 5932 W Jefferson Blvd, Fort Wayne, IN 46804-1677 | 2007-04-23 |
1922206341 | Qhg of Fort Wayne, Inc. | Clinic/Center | 5932 W Jefferson Blvd, Fort Wayne, IN 46804-1677 | 2007-07-06 |
1073711495 | Qhg of Fort Wayne, Inc. | Clinic/Center | 315 E Cook Rd, Business Health Clinic North, Fort Wayne, IN 46825-3311 | 2007-07-06 |
1679792782 | Qhg of Fort Wayne, Inc. | Clinic/Center | 315 E Cook Rd, Fort Wayne, IN 46825-3311 | 2007-04-25 |
1053530162 | Qhg of Fort Wayne, Inc. | Clinic/Center | 315 E Cook Rd, Fort Wayne, IN 46825-3311 | 2007-04-25 |
1558458810 | Qhg of Fort Wayne, Inc. | Clinic/Center | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-10-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | QHG OF FORT WAYNE, INC. | Attn: Rebecca Hurley, 5800 Tennyson Pkwy, Plano, TX 75024 |
Street Address |
315 E COOK RD BUSINESS HEALTH OFFICE |
City | FORT WAYNE |
State | IN |
Zip Code | 46825-3311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508967266 | Qhg of Fort Wayne Company, LLC | Physical Therapist | 315 E Cook Rd, Fort Wayne, IN 46825-3311 | 2006-09-26 |
1124374590 | Roxana M Watkins | Physical Therapy Assistant | 315 E Cook Rd, Fort Wayne, IN 46825-3311 | 2012-08-03 |
1073711495 | Qhg of Fort Wayne, Inc. | Clinic/Center | 315 E Cook Rd, Business Health Clinic North, Fort Wayne, IN 46825-3311 | 2007-07-06 |
1679792782 | Qhg of Fort Wayne, Inc. | Clinic/Center | 315 E Cook Rd, Fort Wayne, IN 46825-3311 | 2007-04-25 |
1053530162 | Qhg of Fort Wayne, Inc. | Clinic/Center | 315 E Cook Rd, Fort Wayne, IN 46825-3311 | 2007-04-25 |
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 | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922206341 | Qhg of Fort Wayne, Inc. | Clinic/Center | 5932 W Jefferson Blvd, Fort Wayne, IN 46804-1677 | 2007-07-06 |
1073711495 | Qhg of Fort Wayne, Inc. | Clinic/Center | 315 E Cook Rd, Business Health Clinic North, Fort Wayne, IN 46825-3311 | 2007-07-06 |
1235351602 | Parkview Occupational Health Centers, Inc. | Clinic/Center | 3103 E State Blvd, Fort Wayne, IN 46805-4738 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669939617 | St Mary's Medical Group, LLC | Clinic/Center | 801 St. Marys Drive #406e, Evansville, IN 47714-0524 | 2019-02-26 |
1538590898 | Verve Health LLC | Clinic/Center | 9050 E 33rd St, Indianapolis, IN 46235-3603 | 2013-12-11 |
1811335227 | Eli Lilly and Company Employee Health | Clinic/Center | 893 S Delaware St, Lilly Corporate Center, Indianapolis, IN 46225-1782 | 2013-06-07 |
1699111468 | Cota | Clinic/Center | 2609 Calumet Ave, Dyer, IN 46311-1963 | 2013-05-20 |
1205133360 | Associated Physicians of Indiana LLC | Clinic/Center | 3051 S Us Highway 41, Terre Haute, IN 47802-3791 | 2011-02-24 |
1346572823 | Community Rehab Services South Park | Clinic/Center | 98 S Park Blvd, Greenwood, IN 46143-8836 | 2010-02-08 |
1407188980 | Community Rehab Services County Line Road | Clinic/Center | 1340 E County Line Rd, Suite U, Indianapolis, IN 46227-0874 | 2010-02-08 |
1972834067 | Workplace Health Services | Clinic/Center | 4850 Century Plaza Rd Ste 140, Indianapolis, IN 46254-5478 | 2010-01-29 |
1992994362 | Minds In Motion, Inc | Clinic/Center | 4343 Security Pkwy, Sigs Sportplex, New Albany, IN 47150-9374 | 2007-10-22 |
1144434473 | St Mary's Medical Center of Evansville, Inc | Clinic/Center | 14020 Old State Rd, Evansville, IN 47725-1121 | 2007-05-09 |
Find all providers with the same taxonomy |
City | FORT WAYNE |
Zip Code | 46825 |
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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.