DR. GREGORY PAUL KNISS (NPI# 1821008574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821008574 |
| Entity Type | Individual |
| Full Name | DR. GREGORY PAUL KNISS |
| Credential | D.O. |
| Practice Address |
9318 Airport Dr Fort Wayne IN 46809-3047 |
| Mailing Address |
3103 E State Blvd Fort Wayne IN 46805-4738 |
| Practice Telephone | 2603739330 |
| Practice Fax Number | 2603739340 |
| Mailing Telephone | 2603739300 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
02001648 | IN | Allopathic & Osteopathic Physicians |
| Street Address |
9318 AIRPORT DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46809-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038574 | Zachary L Roberts | Pharmacist | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2011-09-24 |
| 1679660278 | Kool Smiles In Ft. Wayne, PC | Dentist | 1852 Bluffton Road, Ft. Wayne, IN 46809 | 2006-10-06 |
| 1477512564 | Brian Thomas Raypole | Specialist/Technologist | 5050 N. Clinton Street, Fort Wayne, IN 46809 | 2006-03-20 |
| 1669016895 | Trinity Health Pharmacy Services, LLC | Pharmacy | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2019-10-31 |
| 1871049981 | Mark Sexton | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2016-08-29 |
| 1841573318 | Vicki Eileen Caccamo | Pharmacist | 6730 Bluffton Rd, Fort Wayne, IN 46809 | 2011-09-21 |
| 1104988112 | Karena Diane Schroeder | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2006-12-15 |
| 1013084946 | David L Kuhn | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2006-11-29 |
| 1265588404 | May R. Dahman | Specialist | 1733 Kinsmoor Ave, Fort Wayne, IN 46809-1025 | 2007-01-27 |
| 1134746209 | Laurel Schroeder | Occupational Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-07-06 |
| Find all providers in zip 46809 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851634554 | Omotayo Temitope Fawibe | Preventive Medicine | 3978 New Vision Dr, Fort Wayne, IN 46845 | 2013-04-01 |
| 1679702039 | Tungyun David Wu | Preventive Medicine | 3978 New Vision Dr, Fort Wayne, IN 46845-1712 | 2009-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671819 | Healthstat Onsite Clinic Indiana Auto | Preventive Medicine | 1300 Anderson Blvd Ste B, Greenfield, IN 46140-7934 | 2020-02-13 |
| 1104280064 | Healthstat Onsite Clinic Keihin Muncie | Preventive Medicine | 2101 W Godman Ave, Muncie, IN 47303-4746 | 2016-04-07 |
| 1225494081 | Healthstat Onsite Clinic-keihin Greenfield | Preventive Medicine | 2098 Fields Blvd, Greenfield, IN 46140-3009 | 2016-01-11 |
| 1659707925 | Healthstat On-site Clinic/vsg | Preventive Medicine | 2700 Lanier Dr, Madison, IN 47250-1753 | 2013-09-18 |
| 1881935070 | Healthstat On-site Clinic/amc | Preventive Medicine | 21600 Monroeville Rd, Monroeville, IN 46773-9623 | 2013-03-13 |
| 1083860563 | Martial Raymond Knieser | Preventive Medicine | 16267 Oakford Trl, Fishers, IN 46037-7391 | 2008-08-15 |
| 1861693277 | David Hazra | Preventive Medicine | 340 S. White River Parkway, Indianapolis, IN 46222 | 2007-05-31 |
| 1962620807 | Kevin P Short | Preventive Medicine | 1817 I Ave, New Castle, IN 47362-2611 | 2007-04-24 |
| 1730213604 | John William Timothy Jr. | Preventive Medicine | 4747 E 71st St, Indianapolis, IN 46220-3875 | 2007-03-15 |
| 1851434005 | Steven Richard Smith | Preventive Medicine | 12315 Hancock St, Suite - 26, Carmel, IN 46032-5884 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46809 |
Please comment or provide details below to improve the information on DR. GREGORY PAUL KNISS.
| 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.