PHILIP A RETTENMAIER


Address: 700 Broadway, 2nd Floor, Fort Wayne, IN 46802-1402
Phone: 2604249000

PHILIP A RETTENMAIER (NPI# 1871593418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871593418
Entity Type Individual
Full Name PHILIP A RETTENMAIER
Credential DO
Practice Address 700 Broadway
2nd Floor
Fort Wayne
IN 46802-1402
Mailing Address 2518 E Dupont Rd
Fort Wayne
IN 46825-1675
Practice Telephone 2604249000
Practice Fax Number 2604253029
Mailing Telephone 2604324400
Mailing Fax Number 2609696833
Enumeration Date 2005-07-26
Last Update Date 2018-01-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0011X Preventive Medicine
Specialization: Undersea and Hyperbaric Medicine
02001284A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200073610 05

Office Location

Street Address 700 BROADWAY
2ND FLOOR
City FORT WAYNE
State IN
Zip Code 46802-1402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104825140 Select Specialty Hospital - Fort Wayne Inc Long Term Care Hospital 700 Broadway, 7th Fl East, Fort Wayne, IN 46802-1402 2005-07-20
1598395238 Werner R Wolff Nurse Practitioner 700 Broadway, Fort Wayne, IN 46802-1402 2020-01-22
1477114312 Mandy Onguta Nurse Practitioner 700 Broadway, Fort Wayne, IN 46802-1402 2019-06-21
1609386416 Kelly Marie Snyder Occupational Therapy Assistant 700 Broadway, Fort Wayne, IN 46802-1402 2017-10-06
1851759922 Faysal Massarweh Internal Medicine 700 Broadway, Fort Wayne, IN 46802-1402 2016-02-04
1689041451 Christine Montanaro Registered Nurse 700 Broadway, Fort Wayne, IN 46802-1402 2015-08-28
1265825178 Mary Bullis Nurse Practitioner 700 Broadway, Fort Wayne, IN 46802-1402 2015-03-17
1366883068 Niroshan Kirupananthan Internal Medicine 700 Broadway, Fort Wayne, IN 46802-1402 2013-07-10
1548552375 Musa Abdalla Family Medicine 700 Broadway, Fort Wayne, IN 46802-1402 2011-05-12
1366754616 Darnell J Brown Surgery 700 Broadway, Fort Wayne, IN 46802-1402 2010-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568084416 Renaissance Counseling Center,llc Community/Behavioral Health 1210 Guthrie St, Fort Wayne, IN 46802 2020-05-14
1699260182 Tina Huffman Counseling Services LLC Clinic/Center 2323 111 W. Berry St., Fort Wayne, IN 46802 2018-06-27
1669879664 Neighborhood Health Clinics, Inc Clinic/Center 1721 S Calhoun St, Fort Wayne, IN 46802 2014-11-20
1205272168 Tyler Jerome Kimmel Dentist 1717 S. Calhoun Street, Fort Wayne, IN 46802 2013-05-20
1174899405 Hearcare Connection, Inc. Audiologist 130 W Main St Ste 150, Fort Wayne, IN 46802 2012-03-30
1801114533 Hoosier Sports & Chiropractic LLC Chiropractor 122 W Wayne Street, Fort Wayne, IN 46802 2010-05-05
1891912523 Krista Lohmar Speech-Language Pathologist 3340 North Washington Road, Ft. Wayne, IL 46802 2007-04-20
1811047608 Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. Counselor 915 South Clinton, Fort Wayne, IN 46802 2007-01-12
1548323801 Clifford T Salk Dentist 122 W Washington Blvd, Fort Wayne, IN 46802 2006-12-18
1720155492 Kristina Wise Social Worker 203 W Wayne St Ste 317, Fort Wayne, IN 46802 2006-11-29
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Taxonomy Information

Taxonomy Code 2083P0011X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619950185 Indiana Wound Care, P.C. Preventive Medicine 700 Broadway Fl 2, Fort Wayne, IN 46802-1402 2005-11-29
1386997690 Associated Surgeons and Physicians LLC Preventive Medicine 700 Broadway Fl 2, Fort Wayne, IN 46802-1402 2012-10-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285635045 Todd Sider Preventive Medicine 2003 Stults Rd Ste 120, Huntington, IN 46750-1291 2005-08-02

Competitor

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City FORT WAYNE
Zip Code 46802

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Dataset Information

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.

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