National Provider Identifier (NPI)
FORT WAYNE


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

FORT WAYNE · 2121 LAKE AVE · Search Result

NPI Name Taxonomy Address Enumeration
1124021100 Karen F Sloane Podiatrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2005-05-24
1346848348 Jodi Lyn Van Veld Occupational Therapist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-10-12
1346854213 Amy Solaro Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-09-08
1144831116 Ann Marie Brunner Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-13
1871104042 Lynne Koch Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-12
1790396950 Joseph Amin Samy Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-12
1144831678 Youlijan Samy Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-10
1881204139 Lawrence Ejiofo Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-08-03
1821606575 Nazret Tecle Optometrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-07-20
1689291619 Adam Kreiger Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-06-25
1366069379 Jordan Michael Pelton Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-06-25
1093331316 Michael David Cotton Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-06-23
1497378244 Shrey Y Patel Optometrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-05-27
1306478573 Jana Marie Bakle Registered Nurse 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-02-06
1063052264 Jennifer Rose Dietitian, Registered 2121 Lake Ave, Fort Wayne, IN 46805-5100 2020-01-15
1235776386 Alicia K Herman Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2019-12-09
1902454812 Alyssa Nicole Cornewell Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2019-09-04
1033674601 Laura White Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2019-02-07
1417443375 Lauren Oberley Optometrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2018-07-03
1861988727 Megan Leanna Weidner Optometrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2018-07-03
1306332341 Kacie L Mcpherson Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2018-07-02
1316449630 Jasmine Settlemyre Registered Nurse 2121 Lake Ave, Fort Wayne, IN 46805-5100 2018-03-02
1992203731 Margaret Mary Anderson Registered Nurse 2121 Lake Ave, Fort Wayne, IN 46805-5100 2018-01-26
1518471705 Amy E Sturgeon Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2017-11-27
1821508060 Benjamin Fischer Specialist/Technologist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2017-10-02
1972026078 Erik J. Hamilton Physical Medicine & Rehabilitation 2121 Lake Ave, Fort Wayne, IN 46805-5100 2017-07-20
1912436221 Nsikak Richard Ekanem Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2017-06-08
1518409812 Heather Janel Frazier Nurse Practitioner 2121 Lake Ave, Fort Wayne, IN 46805-5100 2016-11-17
1174975932 Jessica Kieninger Optometrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2016-07-05
1154786143 Carolyn Rene Richie Dietitian, Registered 2121 Lake Ave, Fort Wayne, IN 46805-5100 2015-12-18
1992179840 Matthew Alan Kwiatkowski Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2015-11-16
1871978106 Taylor Modesitt Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2015-07-28
1104201029 Lovelee Elegino Sayomac Optometrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2015-07-21
1386028330 Va Northern Indiana Health Care System Clinic/Center 2121 Lake Ave, Fort Wayne, IN 46805-5100 2015-07-18
1982088563 Colleen Largent Optometrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2015-07-14
1285020248 Jade Marie Miller Nurse Practitioner 2121 Lake Ave, Fort Wayne, IN 46805-5100 2015-04-07
1558757567 Jillian Fletcher Nurse Practitioner 2121 Lake Ave, Fort Wayne, IN 46805-5100 2015-04-07
1073912580 Jessica Lynn Hackenberg Psychologist 2121 Lake Ave, 116a-m, Fort Wayne, IN 46805-5100 2014-08-20
1598172108 Allison Middleton Optometrist 2121 Lake Ave, Eye Clinic 112b, Fort Wayne, IN 46805-5100 2014-07-15
1346656592 Julie Danielle Bolinger Pharmacist 2121 Lake Ave, Pharmacy Dept 119f, Fort Wayne, IN 46805-5100 2014-07-09
1174865661 Angela J Snyder Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2013-03-22
1023350717 Scott Kruse Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2013-03-21
1588906598 Mirela Militaru Psychologist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2013-03-18
1225388077 Angie Nicole Barchak Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2012-09-19
1366791238 Whitney R Foster Nurse Practitioner 2121 Lake Ave, Va Northern Indiana Health Care System, Fort Wayne, IN 46805 2012-09-06
1114276318 Aimee Michelle Bierbaum Nurse Practitioner 2121 Lake Ave, Fort Wayne, IN 46805-5100 2012-09-04
1265790430 Delynn Sue Johnston Respiratory Therapist, Registered 2121 Lake Ave, Fort Wayne, IN 46805 2012-04-25
1659657732 Sandra R Hoehn Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2011-11-02
1851687933 Diane Sue Schafer-king Speech-Language Pathologist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2011-06-27
1801192570 Rachel A Gordon Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2011-01-28
1528362134 Nicole Houser Physical Therapy Assistant 2121 Lake Ave, Fort Wayne, IN 46805-5100 2010-12-23
1609179449 Donna Louise Christ Physical Therapy Assistant 2121 Lake Ave, Fort Wayne, IN 46805-5100 2010-12-17
1699078931 Department of Veteran Affairs General Acute Care Hospital 2121 Lake Ave, Fort Wayne, IN 46805-5100 2010-12-08
1376845214 Martin Joseph Diedrich Occupational Therapy Assistant 2121 Lake Ave, Fort Wayne, IN 46805-5100 2010-11-29
1558663476 Lana Sue Bienz Physical Therapist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2010-11-29
1619285806 Lynne Lea Klepper Nurse Practitioner 2121 Lake Ave, Fort Wayne, IN 46805-5100 2010-09-22
1013222645 Ashley M Fulton Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2010-08-06
1871824664 Michael Patrick O'rourke Psychologist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2010-01-19
1841524105 Nivonne Thompson Clinical Neuropsychologist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2009-09-18
1316177769 Roy Anthony Labarge Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2009-07-20
1275761181 Adhineta Sudnagunta Internal Medicine 2121 Lake Ave, Fort Wayne, IN 46805-5100 2009-06-30
1467606947 Andrea Dawn Bearden Registered Nurse 2121 Lake Ave, Fort Wayne, IN 46805-5100 2008-11-10
1366695850 Karla Kay Dierlam Registered Nurse 2121 Lake Ave, Fort Wayne, IN 46805-5100 2008-10-28
1073777447 Erica Dehart Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2008-07-15
1649442567 Laura Beth Pendrick Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2008-04-01
1396920070 Hugh Fredrick Reusser Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2007-12-31
1245414770 Joshua Lee Mcchesney Nurse Practitioner 2121 Lake Ave, Fort Wayne, IN 46805-5100 2007-12-19
1033391339 Donna Gail Walker Registered Nurse 2121 Lake Ave, Fort Wayne, IN 46805-5100 2007-11-29
1083808612 Melodie Goetz Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2007-08-27
1205029196 Oleg Vengerowsky Anesthesiology 2121 Lake Ave, Fort Wayne, IN 46805-5100 2007-08-23
1912039314 Christopher N. Sullins Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2007-03-12
1417097668 Kristine Bohnstedt Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2007-02-07
1750434486 Beulah T. Penumudi Family Medicine 2121 Lake Ave, Va Northern Indiana Health Care System, Fort Wayne, IN 46805-5100 2007-01-18
1730257320 Paul H Dapp Physical Therapist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-12-01
1598834731 Daniel John Hesse Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-11-06
1861575565 Amelia Marie Holloway Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-10-24
1538241898 Soe Nyunt Internal Medicine 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-10-19
1255411385 John Michael Hoog Urology 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-10-16
1497845481 Brian K Goetz Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-10-13
1609962646 Brett Michael Disalle Dentist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-10-05
1558453191 Debra Mary Barker Social Worker 2121 Lake Ave, Room 526, Fort Wayne, IN 46805-5100 2006-09-29
1962594150 Sharon Roseann May Specialist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-09-28
1912099987 Vijaya L Atluri Internal Medicine 2121 Lake Ave, Fort Wayne, IN 46805 2006-09-28
1730289646 Beth Woodward Wilges Social Worker 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-09-22
1770682163 Wing Sue Maria Reilly Podiatrist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-09-22
1154429348 Donald Lester Wilson Jr. Psychologist 2121 Lake Ave, Va Nihcs, Fort Wayne, IN 46805-5100 2006-09-20
1942305016 Shilpa Subhash Buss Dentist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-09-14
1669576807 Rashmi Jain Internal Medicine 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-09-08
1578665774 Rebecca Sue Gascoyne Nurse Practitioner 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-09-01
1629189345 Carolyn Richeson Social Worker 2121 Lake Ave, Va Northern Indiana, Fort Wayne, IN 46808 2006-08-31
1689786931 Rita Domingo Fox Dietitian, Registered 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-08-31
1538279856 Suseela Doravari Internal Medicine 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-08-30
1902915440 Va Hospital Military Hospital 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-08-29
1831207661 Seema Apuri Internal Medicine 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-08-29
1659480408 Barbara Ann Buss Nurse Practitioner 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-08-29
1437266467 Helen Catherine Rossman Nurse Practitioner 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-08-24
1073629614 Junaid Akhtar Internal Medicine 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-08-23
1861508483 Manoj R Suryawala Psychiatry & Neurology 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-08-23
1740396696 Vincent Nmi Garcia Pharmacist 2121 Lake Ave, Fort Wayne, IN 46805-5100 2006-08-22
1437264678 Sorensen Marie Sorensen Pathology 2121 Lake Ave, Va Nihcs Lab 113, Fort Wayne, IN 46805-5100 2006-08-20