VA HOSPITAL (NPI# 1902915440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902915440 |
| Entity Type | Organization |
| Organization Name | VA HOSPITAL |
| Practice Address |
2121 Lake Ave Fort Wayne IN 46805-5100 |
| Practice Telephone | 2604265431 |
| Mailing Telephone | 2604265431 |
| Mailing Fax Number | 2604601425 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-09-19 |
| Authorized Official Name | SHARON ROSEANN MAY (PHYSICIAN) |
| Authorized Official Telephone | 2604265431 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 01041399 | IN | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598149106 | Va Hospital | Military Hospital | 8967 Via Vista Cir, Las Vegas, NV 89147-6536 | 2015-07-13 |
| 1174860118 | Va Hospital | General Acute Care Hospital | 534 Altoona Pl, Pittsburgh, PA 15228-1204 | 2013-01-10 |
| 1306181300 | Va Hospital | Military Hospital | 138 Fremont Dr, Summerville, SC 29483-7759 | 2012-12-01 |
| 1306029137 | Va Hospital | Nursing Facility/Intermediate Care Facility | 532 Aana Ave, Baltic, SD 57003-2033 | 2007-12-15 |
| 1033229778 | Va Hospital | General Acute Care Hospital | 8222 Lone Bridge Ln, Humble, TX 77338-1726 | 2006-08-30 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1942210083 | Va Hospital | General Acute Care Hospital | 2014 Monarch Hollow Ln, Katy, TX 77449-7093 | 2006-08-09 |
| 1154340446 | Va Hospital | General Acute Care Hospital | 1201 N. W. 16 St., Miami, FL 33125 | 2006-07-18 |
| 1801296900 | Va Hospital | Psychiatric Unit | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2014-08-26 |
| 1023450640 | Va Hospital | Nursing Facility/Intermediate Care Facility | University Drive C, Pittsburgh, PA 15240 | 2013-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | VA Hospitality L.L.C. | 5 Adams St, Edison, New Jersey 08820 |
| Street Address |
2121 LAKE AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021100 | Karen F Sloane | Podiatrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2005-05-24 |
| 1346848348 | Jodi Lyn Van Veld | Occupational Therapist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-10-12 |
| 1346854213 | Amy Solaro | Social Worker | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-09-08 |
| 1144831116 | Ann Marie Brunner | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-13 |
| 1871104042 | Lynne Koch | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1790396950 | Joseph Amin Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-12 |
| 1144831678 | Youlijan Samy | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-10 |
| 1881204139 | Lawrence Ejiofo | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-08-03 |
| 1821606575 | Nazret Tecle | Optometrist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-07-20 |
| 1689291619 | Adam Kreiger | Pharmacist | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2020-06-25 |
| Find all providers in the same location | ||||
| 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 | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912340365 | Richard L. Roudebush Va Medical Center | Military Hospital | 4601 E Centennial Ave, Muncie, IN 47303-2610 | 2013-04-15 |
| 1558488510 | Angela Beaver | Military Hospital | 5300 W 96th St, Indianapolis, IN 46268-3905 | 2007-03-23 |
| 1679687503 | Richard L. Roudebush Va Medical Center | Military Hospital | 3602 E Michigan St, Indianapolis, IN 46201-3466 | 2006-08-18 |
| 1346262813 | Dayton Va | Military Hospital | 4351 So. A, Richmond, IN 47374-6052 | 2006-07-24 |
| 1073940664 | University Medical Diagnostic Associates | Military Hospital | 430 Indiana Ave, Apt 138, Indianapolis, IN 46202-3275 | 2013-09-27 |
| 1922262872 | Department of Veterans Affairs | Military Hospital | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-07-10 |
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on VA HOSPITAL.
| 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.