QHG OF FORT WAYNE COMPANY LLC (NPI# 1952349896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952349896 |
| Entity Type | Organization |
| Organization Name | QHG OF FORT WAYNE COMPANY LLC |
| Practice Address |
1415 Flaxmill Rd Huntington IN 46750-8806 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 2603591250 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200230770C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619918026 | Qhg of Fort Wayne Company LLC | Physical Therapist | 11635 Coldwater Rd, Fort Wayne, IN 46845-1256 | 2006-06-08 |
| 1518909985 | Qhg of Fort Wayne Company LLC | General Practice | 7333 W Jefferson Blvd, Fort Wayne, IN 46804-6280 | 2006-06-12 |
| 1083656573 | Qhg of Fort Wayne Company LLC | General Practice | 3717 Maplecrest Rd, Fort Wayne, IN 46815-8424 | 2006-06-11 |
| Street Address |
1415 FLAXMILL RD |
| City | HUNTINGTON |
| State | IN |
| Zip Code | 46750-8806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407894611 | Delynn Howard Elzey | Emergency Medicine | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-02 |
| 1558458810 | Qhg of Fort Wayne, Inc. | Clinic/Center | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-10-06 |
| 1619913910 | Michael Mellinger | Family Medicine | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-22 |
| 1134163082 | Karen Orr | Physician Assistant | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-15 |
| 1790728368 | Michelle Wilkinson | Physician Assistant | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-13 |
| 1841233350 | Patricia Dealteris | Physician Assistant | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-13 |
| 1851333967 | Stanley Greenberg | Emergency Medicine | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-12 |
| 1659313781 | Wilbur Mcfadden | Family Medicine | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-12 |
| 1073555108 | Patricia Campbell | Nurse Practitioner | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-12 |
| 1013956424 | Smita Bhat | Emergency Medicine | 1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457750457 | Michael Sands | Physical Therapist | 2001 Stults Road, Huntington, IN 46750 | 2014-08-15 |
| 1487917894 | Chelsi Huff | Speech-Language Pathologist | 1401 Park Hill Dr, Huntington, IN 46750 | 2012-06-20 |
| 1346540556 | Timothy Theye | Social Worker | 2860 Norhpark Ave., Huntington, IN 46750 | 2010-10-22 |
| 1710215090 | Manry Optometry, Inc. | Optometrist | 2932 Wal-mart Dr, Huntington, IN 46750 | 2009-11-25 |
| 1821114372 | Assisted Living Concepts Inc | Assisted Living Facility | 460 Forks of The Waba, Huntington, IN 46750 | 2007-03-22 |
| 1740316199 | Christine A Schnitz | Day Training/Habilitation Specialist | 435 Campus, Kids Kampus, Huntington, IN 46750 | 2007-02-27 |
| 1447397450 | Pathfinder Services Inc | Occupational Therapist | 435 Campus St, Huntington, IN 46750 | 2007-01-31 |
| 1487703781 | Sally Eileen Herman | Social Worker | 552 N Jefferson, Huntington, IN 46750 | 2007-01-09 |
| 1841356482 | Womens Medical Specialists | Obstetrics & Gynecology | 1060 Etna Avenue, Huntington, IN 46750 | 2006-12-28 |
| 1386748531 | Thomas J Ringenberg | Family Medicine | 941 Etna Ave, Huntington, IN 46750 | 2006-09-09 |
| Find all providers in zip 46750 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932476249 | William Palmer Zitter | General Practice | 1637 Mccoy Rd, Huntington, WV 25701-4867 | 2011-11-30 |
| 1659589273 | Internal Medicine and Geriatrics Associates Pllc | General Practice | 205 E Main St Ste 2-7a, Huntington, NY 11743-7913 | 2007-05-18 |
| 1639283450 | Jayshri M Mody | General Practice | 5600 Us Route 60, Huntington, WV 25705-2146 | 2006-08-18 |
| 1598793879 | Robert J Aquino | General Practice | 700 New York Ave, Huntington, NY 11743-4264 | 2006-06-28 |
| 1346214913 | Syam B Stoll | General Practice | 2827 5th Ave, Huntington, WV 25702-1435 | 2006-02-13 |
| 1578809588 | Cabell Huntinton Hospital, Inc | General Practice | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2012-12-19 |
| 1811136260 | Nara J Matos | General Practice | 1540 Spring Valley Dr, Huntington, WV 25704 | 2009-02-09 |
| 1023269867 | Seema Gupta | General Practice | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2008-10-09 |
| 1730337155 | Luis Gonzalez | General Practice | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2008-08-28 |
| 1104008481 | Valley Health Systems Inc | General Practice | 2585 3rd Ave, Huntington, WV 25703-1642 | 2007-11-29 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 46750 |
Please comment or provide details below to improve the information on QHG OF FORT WAYNE COMPANY 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.