DR. BHAKTAVATSALA RAO APURI (NPI# 1902960966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902960966 |
| Entity Type | Individual |
| Full Name | DR. BHAKTAVATSALA RAO APURI |
| Credential | M.D., FACC |
| Practice Address |
4656 W Jefferson Blvd Ste 125 Fort Wayne IN 46804-6838 |
| Practice Telephone | 2604341177 |
| Practice Fax Number | 2604341444 |
| Mailing Telephone | 2604341177 |
| Mailing Fax Number | 2604341444 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01054665A | IN | Other Service Providers |
| Street Address |
4656 W JEFFERSON BLVD STE 125 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-6838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770561847 | Therese C Mihlbauer, Ph.d., Inc | Psychologist | 4656 W Jefferson Blvd, Suite 200, Fort Wayne, IN 46804-6857 | 2006-01-09 |
| 1588191381 | Charis Et Veritas LLC | Counselor | 4656 W Jefferson Blvd, 210, Fort Wayne, IN 46804-6857 | 2017-05-11 |
| 1336501162 | Robin Atkins | Counselor | 4656 W Jefferson Blvd, 285, Fort Wayne, IN 46804-6857 | 2016-03-22 |
| 1124463625 | Susan Tielker-sharpe Counseling, LLC | Counselor | 4656 W Jefferson Blvd, Suite 285, Fort Wayne, IN 46804-6857 | 2013-05-09 |
| 1467762047 | Charity L Cass | Counselor | 4656 W Jefferson Blvd, Suite 200, Fort Wayne, IN 46804-6857 | 2010-10-15 |
| 1811200785 | Debra Lynn Roesner | Social Worker | 4656 W Jefferson Blvd, Suite285, Fort Wayne, IN 46804-6857 | 2010-07-21 |
| 1336468271 | Andra D. Johnson | Counselor | 4656 W Jefferson Blvd, Suite 285, Fort Wayne, IN 46804-6857 | 2010-05-18 |
| 1447391495 | Family and Children Behavioral Health PC | Clinic/Center | 4656 W Jefferson Blvd, Ste. 135, Fort Wayne, IN 46804-6857 | 2007-02-11 |
| 1578628913 | Mary M Mcardle-bir | Social Worker | 4656 W Jefferson Blvd, 285, Fort Wayne, IN 46804-6857 | 2006-12-26 |
| 1104994318 | Jan C Boggs | Social Worker | 4656 W Jefferson Blvd, Suite 285, Fort Wayne, IN 46804-6857 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679078398 | Wright Choice Hairquarters | Specialist | 1815 Fox Point Trl Apt 2, Fort Wayne, IN 46816-2450 | 2018-03-26 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
| 1245600972 | Pediatric Cardiology Associates | Specialist | 5107 N Bend Dr, Fort Wayne, IN 46804-1753 | 2015-10-07 |
| 1598168197 | Melinda Elise Smith | Specialist | 5812 Maplecrest Rd, Fort Wayne, IN 46835-3840 | 2014-09-27 |
| 1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
| 1790076453 | Susan Anne Walstra | Specialist | 4601 Heatherwind Dr, Apt. D, Fort Wayne, IN 46815-7135 | 2011-04-28 |
| 1265755250 | William A Argus Md PC | Specialist | 7030 Pointe Inverness Way Ste 240, Fort Wayne, IN 46804-7925 | 2010-03-05 |
| 1033376413 | A Step Ahead Therapies, LLC | Specialist | 6013 Belle Isle Ln, Fort Wayne, IN 46835-1263 | 2008-05-21 |
| 1932370590 | Kerri Jo Trentacosti | Specialist | 5939 Brighton Meadows Dr, Apt. C, Fort Wayne, IN 46804-7664 | 2008-03-21 |
| 1649458662 | Bernice Wilson | Specialist | 4202 Buell Dr, Fort Wayne, IN 46807-2743 | 2008-01-31 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on DR. BHAKTAVATSALA RAO APURI.
| 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.