VATCHE A ISRABIAN


Address: 1818 Carew St, Suite 110, Fort Wayne, IN 46805-4788
Phone: 2609697600

VATCHE A ISRABIAN (NPI# 1013968700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013968700
Entity Type Individual
Full Name VATCHE A ISRABIAN
Credential MD
Practice Address 1818 Carew St
Suite 110
Fort Wayne
IN 46805-4788
Mailing Address 3702 New Vision Dr
Bldg B
Fort Wayne
IN 46845-1703
Practice Telephone 2609697600
Practice Fax Number 2609697702
Mailing Telephone 2602668210
Enumeration Date 2006-05-15
Last Update Date 2018-04-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
01040196 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM 000000576545 01
IN ANTHEM 000000670347 01
IN R.R. MEDICARE P00790184 01
IN 200148740 05

Office Location

Street Address 1818 CAREW ST
SUITE 110
City FORT WAYNE
State IN
Zip Code 46805-4788

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447257795 P. Rao Gummadi Anesthesiology 1818 Carew St, Suite 220, Fort Wayne, IN 46805-4788 2005-07-01
1912393570 Kelly Horn Midwife 1818 Carew St, Suite 300, Fort Wayne, IN 46805-4788 2015-04-10
1295141380 Gynecologic Oncology of Northeast Indiana, LLC Obstetrics & Gynecology 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 2014-07-09
1174802649 Matthew L Runyan Psychiatry & Neurology 1818 Carew St, Suite 230, Fort Wayne, IN 46805-4788 2011-08-15
1861647000 Patrick Andrew Macknick Physician Assistant 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 2008-12-01
1013169275 Jeri Ann Forrest Social Worker 1818 Carew St, Suite 230, Fort Wayne, IN 46805-4788 2008-10-21
1013179357 Carol Pai Wain Garrean Internal Medicine 1818 Carew St, Suite 260, Fort Wayne, IN 46805-4788 2008-06-27
1922156512 Robert W Miner Psychiatry & Neurology 1818 Carew St, Fort Wayne, IN 46805-4788 2007-01-08
1316011349 Parkview Health System, Inc. Durable Medical Equipment & Medical Supplies 1818 Carew St, Suite 260, Fort Wayne, IN 46805-4792 2006-11-20
1801960596 Parkview Health System, Inc. Durable Medical Equipment & Medical Supplies 1818 Carew St, Suite 240, Fort Wayne, IN 46805-4788 2006-11-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
Find all providers in zip 46805

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528265709 Sleep Centers of Fort Wayne LLC Internal Medicine 7223 Engle Rd Ste 110, Fort Wayne, IN 46804-2239 2007-06-29
1497858666 Thomandram Sekar, Md, PC Internal Medicine 2910 Lake Ave, Fort Wayne, IN 46805-5416 2006-09-06
1235183203 Rami S Wali Internal Medicine 2510 E Dupont Rd Ste 108, Fort Wayne, IN 46825-1601 2006-05-22
1174575047 John B Fouts Internal Medicine 1818 Carew St., Suite 110, Fort Wayne, IN 46805-4764 2006-05-17
1386183614 Ahmed M Sharaan Internal Medicine 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845-0025 2017-02-20
1184010050 Martin Engman Internal Medicine 5917 Hallowell Pl, Fort Wayne, IN 46815-6214 2015-04-08
1316386386 Georges Debal Internal Medicine 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845 2013-06-22
1043567886 Bharat Bajantri Internal Medicine 11104 Parkview Circle Dr Ste 410, Fort Wayne, IN 46845 2012-08-10
1245527803 Fahim Zaman Khan Internal Medicine 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 2011-07-05
1831358597 Jennifer Shaffer Internal Medicine 11104 Parkview Circle Dr, Suite 410, Fort Wayne, IN 46845-1730 2008-06-06
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Competitor

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City FORT WAYNE
Zip Code 46805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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