Fort Wayne Orthopedics, Llc in Auburn IN

Fort Wayne Orthopedics, Llc is an orthopedic surgery with a current address of 820 Smaltz Way, Suite B Auburn IN 46706-0609. The NPI is 1619281219, and the license number is 50002482 (IN). It was issued on június 8, 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 11/16/2021.

 

Fort Wayne Orthopedics, 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 (President) is the authorized representative of the organization and can be reached at this phone number: 2604368686.

Name: Fort Wayne Orthopedics, Llc

Specialization: Orthopedic Surgery

Provider Entity Type: Organization

Is Organization Subpart: No

Authorized Name: Jerald Cooper

Authorized Title/Position: President

Contact Number: 2604368686

 

Practice Location Address:

820 Smaltz Way, Suite B

Auburn

IN 46706-0609

Telephone Number: 2604368686

Fax Number: 2604368585

Mailing Address:

Po Box 2526

Fort Wayne

IN 46801-2526

Telephone Number: 8664139534

Fax Number: 2604074428

 

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: 1619281219

Enumeration Date: június 8, 2010

Last Update: 11/16/2021

 

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: 300048779

Code Type: 5

Identifier State: IN

Identifier Issuer:

 

Other Identifiers (if any):

162610008

1

IN

DME PTAN