Mark A King (NPI# 1720079148, PAC ID# 2769461789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720079148 |
| PAC ID by PECOS | 2769461789 |
| Professional Enrollment ID | I20100806000833 |
| Full Name | Mark A King |
| Organization Legal Name | FORT WAYNE MEDICAL EDUCATION PROGRAM |
| Address |
750 Broadway Suite 350 Fort Wayne IN 46802-1412 |
| Phone Number | 2604232675 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2860387933 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150089 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL |
| 150150 | DUPONT HOSPITAL LLC |
| Address | Phone | Organization |
|---|---|---|
| 7230 Engle Rd, Fort Wayne, IN 46804-2209 | 2602435400 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 | 2604232675 | FORT WAYNE MEDICAL EDUCATION PROGRAM |
| 2401 W University Ave, Muncie, IN 47303-3428 | 7657473111 | INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS INC |
| Organization Legal Name | FORT WAYNE MEDICAL EDUCATION PROGRAM |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas E Sawyer | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Jeffrey L Witt | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Steven C Schwieterman | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Todd Robert Page | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Amy L Dawson | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Cynthia L Vanderbosch | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Joy Elizabeth Struble | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Gregory G Eigner | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Aaron K Coray | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Donald Joseph Giant | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Street Address |
750 BROADWAY SUITE 350 |
| City | FORT WAYNE |
| State | IN |
| Zip | 46802-1412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas E Sawyer | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Jeffrey L Witt | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Steven C Schwieterman | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Todd Robert Page | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Sungho Han | Physical Therapy | 750 Broadway, Suite B, Paterson, NJ 07514-1332 | |
| Amy L Dawson | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Cynthia L Vanderbosch | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Joy Elizabeth Struble | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Gregory G Eigner | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Aaron K Coray | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikkiya Fraser | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| 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 |
| Melissa K Gephart | Nurse Practitioner | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| April Renee Morrison | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Dedrick K. Bowe | Pulmonary Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Maryann Meo | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Carrie B Price | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| William A Wood | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Glenn Alan Glogas | Undersea and Hyperbaric Medicine | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Find all physicians in zip 46802 | |||
| City | FORT WAYNE |
| Zip Code | 46802 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORT WAYNE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark A King.
| 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.