DOUGLAS A. NEELD (NPI# 1780669374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780669374 |
| Entity Type | Individual |
| Full Name | DOUGLAS A. NEELD |
| Credential | MD |
| Practice Address |
3828 New Vision Drive Fort Wayne IN 46845 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2604256070 |
| Practice Fax Number | 2604256073 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
01034136A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000541477 | 01 |
| IN | 100330140 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2516 E Dupont Rd, Fort Wayne, IN 468251608 | 2604346076 | 2604890833 |
| 3828 New Vision Drive, Fort Wayne, IN 46845 | 2604256070 | 2604256073 |
| Street Address |
3828 NEW VISION DRIVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845 |
| 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 | 207RA0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Allergy & Immunology |
| An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447229380 | Pulmonary Asthma & Allergy Consults | Internal Medicine | 2510 E Dupont Rd, Ste 200, Fort Wayne, IN 46825 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229199 | Baki.l.l.c | Internal Medicine | 786 Mccool Rd Ste 6, Valparaiso, IN 46385-8894 | 2017-07-29 |
| 1043339005 | Joseph Nelson Gaddy | Internal Medicine | 2525 N Shadeland Ave, Suite105, Indianapolis, IN 46219-1787 | 2007-03-28 |
| 1679781314 | Southside Pulmonary & Sleep Consultants, LLC | Internal Medicine | 1040 Greenwood Springs Blvd, Greenwood, IN 46143-7975 | 2007-05-18 |
| 1962586198 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 1739 N 4th St, Terre Haute, IN 47804-4002 | 2006-10-24 |
| 1932299633 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 700 S Main St, Clinton, IN 47842-2420 | 2006-10-13 |
| 1023107869 | Associated Physicians & Surgeons Clinic, LLC | Internal Medicine | 4601 S 7th St, Terre Haute, IN 47802-4522 | 2006-10-12 |
| 1013025097 | Diane Jordan-wagner | Internal Medicine | 1429 N 6th St, Terre Haute, IN 47804-1037 | 2006-08-29 |
| 1578529046 | William H Baker | Internal Medicine | 550 University Blvd, 111p, Indianapolis, IN 46202-5149 | 2006-04-25 |
| 1932198488 | Robert W Clausen | Internal Medicine | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-10-18 |
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on DOUGLAS A. NEELD.
| 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.