PETER M ROTHMAN (NPI# 1982605937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982605937 |
| Entity Type | Individual |
| Full Name | PETER M ROTHMAN |
| Credential | MD |
| Practice Address |
7920 W Jefferson Blvd Suite 220 Fort Wayne IN 46804 |
| Practice Telephone | 2604365670 |
| Practice Fax Number | 2604364706 |
| Mailing Telephone | 2604365670 |
| Mailing Fax Number | 2604364706 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2010-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
01026818A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100050320A | 05 |
| Street Address |
7920 W JEFFERSON BLVD SUITE 220 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943532 | Allyson Shambaugh | Nurse Practitioner | 7920 W Jefferson Blvd, Fort Wayne, IN 46804-4168 | 2019-10-15 |
| 1689861130 | Gynecology Center, Inc | Obstetrics & Gynecology | 7920 W Jefferson Blvd, Suite 260, Fort Wayne, IN 46804-4168 | 2007-09-28 |
| 1285769372 | Reconstructive Foot & Ankle Specialists, LLC | Durable Medical Equipment & Medical Supplies | 7920 W Jefferson Blvd, Suite 230, Fort Wayne, IN 46804-4168 | 2007-02-22 |
| 1689714727 | Fort Wayne Allergy and Asthma Consultants, Inc. | Allergy & Immunology | 7920 W Jefferson Blvd, Suite 220, Fort Wayne, IN 46804-4168 | 2007-02-07 |
| 1902860141 | Jenna Lynn Baumle | Specialist/Technologist | 7920 W Jefferson Blvd, Suite 100, Fort Wayne, IN 46804-4168 | 2006-04-14 |
| 1043270002 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 7920 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804-4168 | 2006-03-24 |
| 1275528457 | James Steven Alexander | Obstetrics & Gynecology | 7920 W Jefferson Blvd, Suite 260, Fort Wayne, IN 46804-4168 | 2005-09-14 |
| 1154322410 | Summit Surgical Suites, LLC | Clinic/Center | 7920 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804-4168 | 2005-08-09 |
| 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 | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413052 | Naresh J Patel | Allergy & Immunology | 7964 W. Jefferson Blvd., Fort Wayne, IN 46804-4140 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801027099 | Central Indiana Allergy LLC | Allergy & Immunology | 965 Emerson Pkwy Ste B, Greenwood, IN 46143-6274 | 2009-08-05 |
| 1700930252 | Sai R Karlapudi | Allergy & Immunology | 4505 N Wheeling Ave, Muncie, IN 47304-1284 | 2007-01-22 |
| 1588697759 | Allergy Associates of Central In | Allergy & Immunology | 8803 N Meridian St, Suite 100, Indianapolis, IN 46260-5300 | 2006-07-09 |
| 1962445528 | Sanjay C Patel | Allergy & Immunology | 9008 Indianapolis Blvd, Highland, IN 46322-2501 | 2006-06-13 |
| 1134184153 | David George Short | Allergy & Immunology | 1025 Michigan Avenue, Suite 215, Logansport, IN 46947-1594 | 2006-04-20 |
| 1285601278 | Nagarjuna R Ponugoti | Allergy & Immunology | 4779 S 7th St, Terre Haute, IN 47802-4559 | 2006-03-08 |
| 1558336230 | Damir Matesic | Allergy & Immunology | 2216 W Alto Rd, Kokomo, IN 46902-4840 | 2006-02-17 |
| 1356332001 | Carol K Fosso | Allergy & Immunology | 70 E 91st St Ste 204, Indianapolis, IN 46240-1564 | 2005-11-02 |
| 1922001007 | David L Patterson | Allergy & Immunology | 14540 Prairie Lakes Blvd N, Suite 207, Noblesville, IN 46060-4366 | 2005-05-23 |
| 1932575420 | Franciscan Medical Specialists | Allergy & Immunology | 757 45th Ave, Ste 201, Munster, IN 46321 | 2015-08-19 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| 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.