DAVID K. WYSONG DPM, PC (NPI# 1932360468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932360468 |
| Entity Type | Organization |
| Organization Name | DAVID K. WYSONG DPM, PC |
| Practice Address |
3012 E State Blvd Fort Wayne IN 46805-4737 |
| Practice Telephone | 2604716830 |
| Practice Fax Number | 2604716704 |
| Mailing Telephone | 2604716830 |
| Mailing Fax Number | 2604716704 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DR. DAVID K WYSONG (PRESIDENT) |
| Authorized Official Telephone | 2604716830 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
07000579A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | 480033834 | 01 |
| IN | 100081210 | 05 |
| Street Address |
3012 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114956844 | David K Wysong | Podiatrist | 3012 E State Blvd, Fort Wayne, IN 46805-4737 | 2006-07-03 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629529029 | Associated Surgeons and Physicians, LLC | Podiatrist | 7920 W. Jefferson Blvd., Ste. 230, Fort Wayne, IN 46804-4166 | 2016-10-20 |
| 1609879683 | Jonathan Vn Norton | Podiatrist | 8028 Carnegie Blvd Ste 400, Fort Wayne, IN 46804 | 2005-05-24 |
| 1881076065 | Diana Nguyen | Podiatrist | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2015-06-24 |
| 1275892952 | Ashley Marie Bojrab | Podiatrist | 2231 Carew St, Fort Wayne, IN 46805-4713 | 2012-05-15 |
| 1912276361 | Jacqueline Monroe | Podiatrist | 7559 W Jefferson Blvd, Fort Wayne, IN 46804-4131 | 2011-12-14 |
| 1851536023 | Jason David Dedoes | Podiatrist | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2008-12-02 |
| 1013188291 | Gage Manning Caudell | Podiatrist | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2008-03-17 |
| 1255496352 | Reconstructive Foot & Ankle Specialists, LLC | Podiatrist | 7910 W Jefferson Blvd, Suite 300, Fort Wayne, IN 46804-4159 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853873 | Hoosier Foot & Ankle LLC | Podiatrist | 7412 Rockville Rd Ste A, Indianapolis, IN 46214-3098 | 2017-10-25 |
| 1952830499 | Britney Ann Wenig | Podiatrist | 10122 E 10th St Ste 250, Indianapolis, IN 46229-2663 | 2017-06-08 |
| 1952846776 | Veronica Alexis Kacmar-fedorchak | Podiatrist | 3215 Willowcreek Rd, Portage, IN 46368-5013 | 2017-01-03 |
| 1902359714 | Aamir Mahmood | Podiatrist | 10176 W 400 N Ste D, Michigan City, IN 46360-9009 | 2016-07-28 |
| 1437508116 | Brian K. Penrose | Podiatrist | 611 E Douglas Rd Ste 101, Mishawaka, IN 46545-1464 | 2016-06-03 |
| 1558756023 | Sarah Standish | Podiatrist | 1001 Hadley Rd Ste 105, Mooresville, IN 46158-1884 | 2015-04-01 |
| 1467872796 | William Joseph Edward Adams | Podiatrist | 1 Memorial Sq Ste 2100, Greenfield, IN 46140-1380 | 2014-04-25 |
| 1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
| 1245679802 | Ansgar Steven Olsen | Podiatrist | 360 Plaza Dr Ste B, Columbus, IN 47201-2960 | 2013-06-17 |
| 1033557830 | Hardeep S Minhas | Podiatrist | 2308 Roosevelt Rd, Valparaiso, IN 46383-2773 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on DAVID K. WYSONG DPM, PC.
| 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.