INNOVATIVE HOSPITAL CARE, LLC (NPI# 1922374172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922374172 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE HOSPITAL CARE, LLC |
| Practice Address |
7950 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Mailing Address |
10343 Dawsons Creek Blvd Suite A Fort Wayne IN 46825-1906 |
| Practice Telephone | 2602039600 |
| Practice Fax Number | 2607396167 |
| Mailing Telephone | 2602039600 |
| Mailing Fax Number | 2607396167 |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2016-04-09 |
| Authorized Official Name | DR. JOHN GILBERT (PRESIDENT) |
| Authorized Official Telephone | 2602039600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201067680 | 05 |
| Street Address |
7950 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486187 | Heather J. Wolfe | Pediatrics | 7950 W Jefferson Blvd, Suite 212, Fort Wayne, IN 46804-4140 | 2005-06-13 |
| 1831798354 | Dorian Raymone Tate | Nurse Anesthetist, Certified Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-26 |
| 1528665585 | Alexis Kate Felger | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-02 |
| 1114534054 | Mary Catherine Richter | Specialist/Technologist, Other | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-09-24 |
| 1538778386 | Lori Elizabeth Jackson | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-07-28 |
| 1831708965 | Anna N. Kemler | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-24 |
| 1699383307 | David James Mansfield | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-20 |
| 1932726452 | Joseph Egbert | Registered Nurse | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-06-30 |
| 1245851872 | Lauren Tirey | Occupational Therapist | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2020-05-05 |
| 1609415421 | Mikhaila Sailor | Dietitian, Registered | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4160 | 2019-12-26 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427161801 | Krishna Datta | Hospitalist | 2520 E. Dupont Road, Fort Wayne, IN 46825 | 2006-08-17 |
| 1558795799 | Srija Vangala | Hospitalist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2013-08-23 |
| 1841588647 | Mandasmitha Sowmarpet | Hospitalist | 11109 Parkview Plaza Drive, Parkview Regional Medical Center, Fort Wayne, IN 46825 | 2011-07-13 |
| 1528358579 | Rahul Sharma | Hospitalist | 7950 W Jefferson Blvd, Lutheran Medical Group, Fort Wayne, IN 46804-4140 | 2011-04-11 |
| 1609027333 | Rakesh Kumar Guntur | Hospitalist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2008-09-30 |
| 1871754549 | Venkata Lakshmi Prasad Kureti | Hospitalist | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865159 | Nichole Renee Sebesky | Hospitalist | 629 Park Dr, Franklin, IN 46131-7685 | 2020-09-10 |
| 1407239114 | Thomas Ryan Cervone | Hospitalist | Tristar Southern Hills Medical, 391 Wallace Road, Nashville, IN 37211 | 2015-06-30 |
| 1104194547 | Select Specialty Hospital - Evansville, LLC | Hospitalist | 400 Se 4th St, Evansville, IN 47713-1206 | 2011-12-13 |
| 1073826780 | Indiana University Health Starke Hospital LLC | Hospitalist | 102 East Culver Road, Knox, IN 46534-2216 | 2010-07-22 |
| 1295863199 | Jason S. Henderson | Hospitalist | 6404 Cotton Bay Dr N, Indianapolis, IN 46254-4528 | 2007-03-01 |
| 1619087707 | Shelene S. Ruggio | Hospitalist | 503 Steeplechase Dr, Auburn, IN 46706-9127 | 2006-08-30 |
| 1003884404 | Srinivasu Kesa | Hospitalist | 3471 Muirfield Way, Carmel, IN 46032 | 2006-03-10 |
| 1154321099 | Johnson Memorial Hospital | Hospitalist | 1155 W Jefferson St, Ste 202, Franklin, IN 46131-2732 | 2005-07-21 |
| 1598387250 | Dana Oberg | Hospitalist | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2020-05-15 |
| 1972152114 | Amber Banks | Hospitalist | 441 N Wabash Ave, Marion, IN 46952-2612 | 2019-09-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on INNOVATIVE HOSPITAL CARE, 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.