PARKVIEW HEALTH SYSTEM, INC. (NPI# 1720190002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720190002 |
| Entity Type | Organization |
| Organization Name | PARKVIEW HEALTH SYSTEM, INC. |
| Other Organization Name | PARKVIEW PHYSICIANS GROUP |
| Practice Address |
11123 Parkview Plaza Dr Ste 101 Fort Wayne IN 46845-1707 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2604256650 |
| Practice Fax Number | 2604256649 |
| Mailing Telephone | 2602668210 |
| Mailing Fax Number | 2604585636 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | KRISTINA BIGELOW (DIRECTOR) |
| Authorized Official Telephone | 2602661403 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARKVIEW HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | Other Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Parkview Physicians Group | Doing Business As Name - Organization |
| Parkview Physicians Group OB/GYN | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1922379726 | Parkview Health System, Inc. | Internal Medicine | 11141 Parkviewplaza Dr., 210, Fort Wayne, IN 46845-1714 | 2012-01-25 |
| 1346487444 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 401 Sawyer Road, Suite B, Kendallville, IN 46755-2568 | 2009-01-12 |
| 1366689416 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 524 Branch Court, Columbia City, IN 46725-1323 | 2009-01-12 |
| 1629215777 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 1844 Ida Red Road, Kendallville, IN 46755-2873 | 2009-01-12 |
| 1043457104 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 353 N. Oak Street, Columbia City, IN 46725-1623 | 2009-01-12 |
| 1457598633 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 5110 N. Clinton St., Suite 7, Fort Wayne, IN 46825-5735 | 2009-01-09 |
| 1801032248 | Parkview Health System, Inc. | Podiatrist | 306 Maumee St, Suite 2, Angola, IN 46703-2035 | 2009-01-06 |
| 1629214069 | Parkview Health System, Inc. | Podiatrist | 410 E. Mitchell St., Kendallville, IN 46755-1890 | 2009-01-06 |
| 1851545560 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 6130 Trier Rd., Fort Wayne, IN 46815-5339 | 2008-11-07 |
| Street Address |
11123 PARKVIEW PLAZA DR STE 101 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639168404 | Kendra T Karner | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2005-10-14 |
| 1225647118 | Kirsten Metz | Registered Nurse | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2020-07-27 |
| 1164069837 | Joelle Yates | Registered Nurse | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2019-12-02 |
| 1164076436 | Bethany Schultz | Physician Assistant | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2019-07-25 |
| 1053899690 | Mindy Rae Gurley | Nurse Practitioner | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2018-08-06 |
| 1851880777 | Sarah Chapman | Registered Nurse | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845 | 2018-05-07 |
| 1043750771 | Sonya J Lagassie | Registered Nurse | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2017-02-28 |
| 1215355706 | Kimberley Lynne Meinema | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845 | 2014-04-01 |
| 1407196611 | Landon Harrison | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2013-02-25 |
| 1780970251 | Emily C Baltes | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2011-06-23 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609056779 | Allen County Ob-gyn Associates, PC | Obstetrics & Gynecology | 800 Broadway Ste 315, Fort Wayne, IN 46802-2149 | 2007-11-06 |
| 1598806937 | Obstetrics and Gynecology Associates of Fort Wayne PC | Obstetrics & Gynecology | 7802 W Jefferson Blvd, Fort Wayne, IN 46804-4138 | 2007-02-09 |
| 1124063102 | Judy L. Zacher | Obstetrics & Gynecology | 3974 New Vision Drive, Fort Wayne, IN 46845-1712 | 2006-06-16 |
| 1275515801 | Jyothirmai K Reddy | Obstetrics & Gynecology | 7802 W. Jefferson Blvd, Fort Wayne, IN 46804 | 2005-11-18 |
| 1457341182 | H N Ramaprakash | Obstetrics & Gynecology | 7635 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-10-25 |
| 1639168404 | Kendra T Karner | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 101, Fort Wayne, IN 46845-1707 | 2005-10-14 |
| 1568458990 | Carolyn Warner Greer | Obstetrics & Gynecology | 1415 Directors Row, Fort Wayne, IN 46808 | 2005-09-21 |
| 1588659064 | Tracy L Bellavance | Obstetrics & Gynecology | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-09-12 |
| 1306838321 | Althea J. Jackson | Obstetrics & Gynecology | 2510 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1600 | 2005-08-16 |
| 1255332664 | Lora Overton | Obstetrics & Gynecology | 3217 Lake Ave, Fort Wayne, IN 46805-5427 | 2005-08-09 |
| 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.