Ibad Ul-haq Farooqui (NPI# 1427499318, PAC ID# 8224260062) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1427499318 |
PAC ID by PECOS | 8224260062 |
Professional Enrollment ID | I20160726000218 |
Full Name | Ibad Ul-haq Farooqui |
Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
Address |
402 E Main St Fort Wayne IN 46802-1910 |
Phone Number | 2604253699 |
Gender | M |
Graduation Year | 2013 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4981751617 |
Number of Group Practice Members | 211 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150047 | ST JOSEPH HOSPITAL |
150017 | LUTHERAN HOSPITAL OF INDIANA |
Address | Phone | Organization |
---|---|---|
2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2604346076 | LUTHERAN MEDICAL GROUP LLC |
3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2604322297 | LUTHERAN MEDICAL GROUP LLC |
402 E Main St, Fort Wayne, IN 46802-1910 | 2604253699 | LUTHERAN MEDICAL GROUP LLC |
Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
Physicians | 216 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Stemen | Nurse Practitioner | Lutheran Medical Group LLC | 11115 Lima Rd, Fort Wayne, IN 46818-9536 |
David C. Cronin | General Surgery | Lutheran Medical Group LLC | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 |
George Steven Kalesperis | Family Medicine | Lutheran Medical Group LLC | 6511 E State Blvd, Fort Wayne, IN 46815-7026 |
Ann R. Moore | Nurse Practitioner | Lutheran Medical Group LLC | 303 S Main St, Bluffton Regional Hospital, Bluffton, IN 46714-2503 |
Stephanie A Clouse | Nurse Practitioner | Lutheran Medical Group LLC | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
Nicole Sanderson | Nurse Practitioner | Lutheran Medical Group LLC | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 |
Kanika Jaggi | Family Medicine | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 800, Fort Wayne, IN 46806-3393 |
Christine Springer | Nurse Practitioner | Lutheran Medical Group LLC | 10429 Hosler Rd, Leo, IN 46765-9739 |
Leia A Becktell | Nurse Practitioner | Lutheran Medical Group LLC | 7952 W Jefferson Blvd, The Orthopedic Hospital, Fort Wayne, IN 46804-4140 |
Christi Ann Wallace | Family Medicine | Lutheran Medical Group LLC | 1302 Minnich Rd, New Haven, IN 46774-2052 |
Street Address |
402 E MAIN ST |
City | FORT WAYNE |
State | IN |
Zip | 46802-1910 |
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 Ibad Ul-haq Farooqui.
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.