NORTHEAST OBSTETRICS & GYNECOLOGY, LLC (NPI# 1831354471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831354471 |
| Entity Type | Organization |
| Organization Name | NORTHEAST OBSTETRICS & GYNECOLOGY, LLC |
| Practice Address |
2414 E State Blvd Suite 101 Fort Wayne IN 46805-4760 |
| Practice Telephone | 2604227455 |
| Practice Fax Number | 2604220086 |
| Mailing Telephone | 2604227455 |
| Mailing Fax Number | 2604220086 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | TAMI A FURNISS (BUSINESS MANAGER) |
| Authorized Official Telephone | 2604267755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033374673 | Northeast Obstetrics & Gynecology, LLC | Obstetrics & Gynecology | 8028 Carnegie Blvd, Suite 200, Fort Wayne, IN 46804-5787 | 2008-07-23 |
| 1811941024 | Northeast Obstetrics & Gynecology, LLC | Clinic/Center | 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845-1707 | 2006-05-20 |
| Street Address |
2414 E STATE BLVD SUITE 101 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171499 | John R Stanford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2414 E State Blvd, Carew Building #1, Suite 201, Fort Wayne, IN 46805-4760 | 2005-08-11 |
| 1558529933 | Cheryl Amanda Gratz | Social Worker | 2414 E State Blvd, Suite 304, Fort Wayne, IN 46805-4760 | 2008-06-02 |
| 1942352802 | Julie R. Stackhouse | Nurse Practitioner | 2414 E State Blvd, Suite 101, Fort Wayne, IN 46805-4760 | 2007-01-18 |
| 1972594968 | Allied Physicians Inc., D/b/a Indiana Ohio Heart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2414 E State Blvd, Carew Building, Fort Wayne, IN 46805-4760 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| 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 | 46805 |
Please comment or provide details below to improve the information on NORTHEAST OBSTETRICS & GYNECOLOGY, LLC.
| 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.