Joshua Wallet (NPI# 1598961393, PAC ID# 2163688458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1598961393 |
| PAC ID by PECOS | 2163688458 |
| Professional Enrollment ID | I20120801000381 |
| Full Name | Joshua Wallet |
| Organization Legal Name | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| Address |
1275 Provident Dr Warsaw IN 46580-3265 |
| Phone Number | 5742694026 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2004 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 2668539818 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 151330 | ADAMS MEMORIAL HOSPITAL |
| 150150 | DUPONT HOSPITAL LLC |
| Address | Phone | Organization |
|---|---|---|
| 1100 Mercer Ave, Decatur, IN 46733-2303 | 2604324400 | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| 11141 Parkview Plaza Dr, Suite 325, Fort Wayne, IN 46845-1714 | 2604324400 | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| 2518 E Dupont Rd, Womens Health Advantage, Fort Wayne, IN 46825-1675 | 2604324400 | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2604324400 | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| 1275 Provident Dr, Warsaw, IN 46580-3265 | 5742694026 | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| Organization Legal Name | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Dirig | Nurse Practitioner | Associated Surgeons and Physicians LLC | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Larson Langschwager | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 1316 E 7th St, Auburn, IN 46706-2538 |
| Mary J Gura | Nurse Practitioner | Associated Surgeons and Physicians LLC | 2518 E Dupont Rd, Womens Health Advantage, Fort Wayne, IN 46825-1675 |
| Sarah B Bailey | Nurse Practitioner | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Mark W Delbello | Internal Medicine | Associated Surgeons and Physicians LLC | 10002 Auburn Park Dr, Fort Wayne, IN 46825-2389 |
| Tara J Little | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Debra K Brandenberger | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Keith R Davis | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Andrea F Yoder | Certified Nurse Midwife (cnm) | Associated Surgeons and Physicians LLC | 2518 E Dupont Rd, Womens Health Advantage, Fort Wayne, IN 46825-1675 |
| Rachael L Johnson | Nurse Practitioner | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Street Address |
1275 PROVIDENT DR |
| City | WARSAW |
| State | IN |
| Zip | 46580-3265 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah B Bailey | Nurse Practitioner | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Rachael L Johnson | Nurse Practitioner | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Kellie R. Parker | Nurse Practitioner | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Thomas J Lorenc | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Craig Hanson | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Sandra Ann Krizmanich | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Timothy F Cook | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Roger E Sporre | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Donald A Durecki | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Thomas E Howard | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin D Day | Chiropractic | 118 W Market St, Warsaw, IN 46580-2812 | |
| Andrew S Yoder | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Andrew Gerritt Smith | Psychiatry | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Richard E Ruhrold | Psychologist, Clinical | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Dawn Boughton | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Amber Joy Richards | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Kishore Sriram | Psychiatry | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Rhonda Irene Hall | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Kelly N Martinczak | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Julie A Moore | Clinical Social Worker | The Otis R Bowen Center for Human Services Inc | 850 N Harrison St, Warsaw, IN 46580-3163 |
| Find all physicians in zip 46580 | |||
| City | WARSAW |
| Zip Code | 46580 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | WARSAW + COLORECTAL SURGERY (PROCTOLOGY) |
Please comment or provide details below to improve the information on Joshua Wallet.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.