Fort Wayne Orthopaedics, Llc is an orthopedic surgery with a current address of 3270 Intertech Dr Angola IN 46703-7325. The NPI is 1104131259, and the license number is 50002482 (IN). It was issued on 08/13/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an organization, and the NPI number was last updated on 07/20/2016.
Fort Wayne Orthopaedics, Llc can be reached by phone at 2604368686, by mail at Po Box 2526 Fort Wayne IN 46801-2526, or by fax at 2604368585.
Jerald Cooper (M.D./President) is the authorized representative of the organization and can be reached at this phone number: 2604368686.
Name: Fort Wayne Orthopaedics, Llc
Specialization: Orthopedic Surgery
Provider Entity Type: Organization
Is Organization Subpart: No
Authorized Name: Jerald Cooper
Authorized Title/Position: M.D./President
Contact Number: 2604368686
Practice Location Address:
3270 Intertech Dr
Angola
IN 46703-7325
Telephone Number: 2604368686
Fax Number: 2604368585
Mailing Address:
Po Box 2526
Fort Wayne
IN 46801-2526
Telephone Number: 2604368686
Fax Number: 2604368585
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1104131259
Enumeration Date: 08/13/2010
Last Update: 07/20/2016
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 50002482
License State: IN
Taxonomy Group: 193200000x Multi-Specialty Group
Other Taxonomy (if any):
207XS0106X
50002482
IN
N
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
Identifier: 162610004
Code Type: 1
Identifier State: IN
Identifier Issuer: Dme Ptan
Other Identifiers (if any):
100210470A
5
IN