Ian R Nelson (NPI# 1043440852, PAC ID# 8729211248) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1043440852 |
| PAC ID by PECOS | 8729211248 |
| Professional Enrollment ID | I20150721000344 |
| Full Name | Ian R Nelson |
| Organization Legal Name | FORT WAYNE ORTHOPAEDICS, LLC |
| Address |
2512 E Dupont Rd Suite 110 Fort Wayne IN 46825-1609 |
| Phone Number | 2604368686 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 7618965286 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150150 | DUPONT HOSPITAL LLC |
| 150168 | THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR |
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| Address | Phone | Organization |
|---|---|---|
| 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 | 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 |
| Brian T Laursen | Physician Assistant | Fort Wayne Orthopaedics, LLC | 701 Orthopaedic Dr, Suite 100, Warsaw, IN 46582-3905 |
| Jonathan D Detommaso | Podiatry | Fort Wayne Orthopaedics, LLC | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 |
| 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 |
2512 E DUPONT RD SUITE 110 |
| 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 |
| Jennifer R Kryder | Nurse Practitioner | Northeast Indiana Urology. P.C. | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 |
| David L Pollifrone | Urology | 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 | ORTHOPEDIC SURGERY |
| City + Specialty | FORT WAYNE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Ian R Nelson.
| 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.