David L Pollifrone (NPI# 1215901574, PAC ID# 2668378290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1215901574 |
| PAC ID by PECOS | 2668378290 |
| Professional Enrollment ID | I20031217000212 |
| Full Name | David L Pollifrone |
| Organization Legal Name | NORTHEAST INDIANA UROLOGY. P.C. |
| Address |
2512 E Dupont Rd Suite 100 Fort Wayne IN 46825-1609 |
| Phone Number | 2604366667 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 5395641914 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150045 | DEKALB HEALTH |
| 150150 | DUPONT HOSPITAL LLC |
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 151315 | CAMERON MEMORIAL COMMUNITY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2604366667 | NORTHEAST INDIANA UROLOGY. P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | NORTHEAST INDIANA UROLOGY. P.C. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Thompson | Physician Assistant | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Howard G. Morris | Radiation Oncology | Northeast Indiana Urology. P.C. | 10307 Dupont Circle Dr W B, Fort Wayne, IN 46825-1633 |
| Gita Singh | Obstetrics/gynecology | Northeast Indiana Urology. P.C. | 7900 W Jefferson Blvd, Suite 301, Fort Wayne, IN 46804-4128 |
| Jennifer R Kryder | Nurse Practitioner | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Tracy E Mullins | Nurse Practitioner | Northeast Indiana Urology. P.C. | 7900 W Jefferson Blvd, Suite 301, Fort Wayne, IN 46804-4128 |
| Adam C Thomas | Urology | Northeast Indiana Urology. P.C. | 7900 W Jefferson Blvd, Suite 301, Fort Wayne, IN 46804-4128 |
| Rudolph N Bowens | Urology | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Nicolette A Winebrenner | Nurse Practitioner | Northeast Indiana Urology. P.C. | 7900 W Jefferson Blvd, Suite 301, Fort Wayne, IN 46804-4128 |
| Theodore T Wagner Iii | Urology | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Sarah E Slocum | Nurse Practitioner | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Street Address |
2512 E DUPONT RD SUITE 100 |
| City | FORT WAYNE |
| State | IN |
| Zip | 46825-1609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Thompson | Physician Assistant | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Ian R Nelson | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 |
| Jennifer R Kryder | Nurse Practitioner | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Niles David Schwartz | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 |
| Thomas C Wheeler | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 2512 E Dupont Rd, Suite 120, Fort Wayne, IN 46825-1609 |
| Rudolph N Bowens | Urology | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Dorinda S Mosbrucker | Nurse Practitioner | Racc Medical Associates LLC | 2512 E Dupont Rd, 200 Summit Pain Management, Fort Wayne, IN 46825-1609 |
| Theodore T Wagner Iii | Urology | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Sarah E Slocum | Nurse Practitioner | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| John B Brinkman | Urology | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana M Nguyen | Podiatry | Richard M. Hilker, Dpm, P.C. | 10323 Dawson's Creek Blvd Bldg, 10c, Fort Wayne, IN 46825 |
| David A Campbell | Rheumatology | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
| Amie Dent | Registered Dietitian Or Nutrition Professional | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
| Michele L Helfgott | Obstetrics/gynecology | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
| Wendy Sue Clark | Nurse Practitioner | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
| Kim Sue Penland | Nurse Practitioner | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
| Moran Muehlmeyer | Nurse Practitioner | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
| Karen S Evans | Family Medicine | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
| Brooke Elizabeth Bohnstedt | Nurse Practitioner | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
| Hirenkumar P Patel | Internal Medicine | Parkview Health System Inc | 1234 E Dupont Rd, Suite 5, Fort Wayne, IN 46825-1545 |
| Find all physicians in zip 46825 | |||
| City | FORT WAYNE |
| Zip Code | 46825 |
| Specialty | UROLOGY |
| City + Specialty | FORT WAYNE + UROLOGY |
Please comment or provide details below to improve the information on David L Pollifrone.
| 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.