Brian T Laursen (NPI# 1164425187, PAC ID# 7315837895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1164425187 |
PAC ID by PECOS | 7315837895 |
Professional Enrollment ID | I20040318000242 |
Full Name | Brian T Laursen |
Organization Legal Name | FORT WAYNE ORTHOPAEDICS, LLC |
Address |
701 Orthopaedic Dr Suite 100 Warsaw IN 46582-3905 |
Phone Number | 2604368686 |
Gender | M |
Credential | PA |
Graduation Year | 2003 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 7618965286 |
Number of Group Practice Members | 47 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150168 | THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR |
150017 | LUTHERAN HOSPITAL OF INDIANA |
Address | Phone | Organization |
---|---|---|
217 W Wayne St, Fort Wayne, IN 46802-3605 | 2604368686 | FORT WAYNE ORTHOPAEDICS, LLC |
2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 | 2604368686 | FORT WAYNE ORTHOPAEDICS, LLC |
315 E Cook Rd, Fort Wayne, IN 46825-3311 | 2604898218 | QHG OF FORT WAYNE COMPANY LLC |
7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2604368686 | FORT WAYNE ORTHOPAEDICS, LLC |
7631 W Jefferson Blvd, The Imaging Center, Fort Wayne, IN 46804-4133 | 2604367770 | FORT WAYNE ORTHOPAEDICS, LLC |
1415 Flaxmill Rd, Huntington, IN 46750-8806 | 2603591250 | QHG OF FORT WAYNE COMPANY LLC |
1302 Minnich Rd, New Haven, IN 46774-2052 | 2604583821 | QHG OF FORT WAYNE COMPANY LLC |
701 Orthopaedic Dr, Suite 100, Warsaw, IN 46582-3905 | 2604368686 | FORT WAYNE ORTHOPAEDICS, LLC |
Organization Legal Name | FORT WAYNE ORTHOPAEDICS, LLC |
Physicians | 49 |
Name | Specialty | Organization | Address |
---|---|---|---|
Phillip C Penny | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 605 N Walnut St, North Manchester, IN 46962-1857 |
Abigail Vanlaningham | Physician Assistant | Fort Wayne Orthopaedics, LLC | 3270 Intertech Dr, Angola, IN 46703-7325 |
Matthew A Bohren | Physician Assistant | Fort Wayne Orthopaedics, LLC | 217 W Wayne St, Fort Wayne, IN 46802-3605 |
Hope E Royce | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
Gage M Caudell | Podiatry | Fort Wayne Orthopaedics, LLC | 208 N Columbus St, Hicksville, OH 43526-1250 |
Jonathan D Detommaso | Podiatry | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
Ian R Nelson | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 |
John Paul Magno Manalo | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
Alex Villavicencio | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
Carolyn Hanrahan | Physician Assistant | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
Street Address |
701 ORTHOPAEDIC DR SUITE 100 |
City | WARSAW |
State | IN |
Zip | 46582-3905 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kara A Henry | Nurse Practitioner | Fort Wayne Orthopaedics, LLC | 701 Orthopaedic Dr, Suite 100, Warsaw, IN 46582-3905 |
Gregory M Sassmannshausen | Orthopedic Surgery | Fort Wayne Orthopaedics, LLC | 701 Orthopaedic Dr, Suite 100, Warsaw, IN 46582-3905 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kylie A Sebastian | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
Wayne A Hogenson | Chiropractic | 3107 E Ctr St, We Care Chiropractic, Warsaw, IN 46582-3901 | |
Stephen J Schreck | Otolaryngology | Ear, Nose and Throat Associates, PC | 3161 E Ctr St, Warsaw, IN 46582-3901 |
Madison K Ziegel | Qualified Audiologist | Ear, Nose and Throat Associates, PC | 3161 E Ctr St, Warsaw, IN 46582-3901 |
Emily B Brandstatter | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
Aaron J Brown | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
Alexa A Carver | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
Adam T Garner | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
Matthew R Frieden | Optometry | Midwest Eye Consultants PC | 3157 E Ctr St, Warsaw, IN 46582-3901 |
Kristine M Jones | Optometry | Midwest Eye Consultants, P.C. | 3157 E Ctr St, Warsaw, IN 46582-3901 |
Find all physicians in zip 46582 |
City | WARSAW |
Zip Code | 46582 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | WARSAW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brian T Laursen.
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.