JASON MICHAEL RODRIGUEZ (NPI# 1093078339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093078339 |
| Entity Type | Individual |
| Full Name | JASON MICHAEL RODRIGUEZ |
| Credential | MD |
| Practice Address |
7916 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
| Practice Telephone | 2604322297 |
| Practice Fax Number | 2604792950 |
| Mailing Telephone | 2604793514 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
01083487A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538536313 | Jason Howard Rodriguez | Nurse Practitioner | 4704 Mary Hall Ln, Chattanooga, TN 37416-2613 | 2015-08-27 |
| 1568014009 | Jason Rodriguez | Optometrist | 223 Main St, Vincennes, IN 47591-1208 | 2019-07-15 |
| 1235791864 | Jason Rodriguez | Counselor | 2010 Lincoln Park Ave, Los Angeles, CA 90031-3119 | 2019-07-03 |
| 1417417817 | Jason Daniel Rodriguez | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2019-03-21 |
| 1205322138 | Jason Rodriguez | Counselor | 993 Postal Way, Vista, CA 92083-6945 | 2018-07-03 |
| 1083103766 | Jason L Rodriguez | Counselor | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2018-05-08 |
| 1013335116 | Jason Rodriguez | Counselor | 6305 Woodman Ave, Van Nuys, CA 91401-2346 | 2014-04-04 |
| 1124370960 | Jason Rodriguez | Specialist/Technologist | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2012-10-03 |
| 1164714457 | Jason Christopher Rodriguez | Technician, Other | 260 Guard Rd, Aguadilla, PR 00603-1304 | 2011-05-05 |
| 1023250560 | Jason William Rodriguez | Psychiatry & Neurology | 4455 E 12th Ave, Denver, CO 80220-2415 | 2009-03-30 |
| Street Address |
7916 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058825 | Motaz Shaher | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804 | 2005-07-28 |
| 1922605336 | Megan Louise Trotter | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-08 |
| 1205456142 | Billie M. Becker | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-04-21 |
| 1902444144 | Lindsey P. Felger | Registered Nurse | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-12-18 |
| 1376189514 | Jasmin Rahman | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-11-22 |
| 1962053223 | Amanda N. Schieber | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-09-26 |
| 1205487568 | Robin L. Riddle | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-09-26 |
| 1093281636 | Traci A. Neuenschwander | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2018-10-22 |
| 1801310610 | Melissa A. Willard | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-08-02 |
| 1912420977 | Brandon L. Mcintire | Nurse Practitioner | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508078189 | Fausto G. Devecchi | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-05-04 |
| 1811956337 | Medical Group of Fort Wayne, P.C. | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-03-22 |
| 1609852292 | Fort Wayne Cardiology Corporation | Internal Medicine | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| 1013111368 | Cardiac Care Center of Louisville, Pllc | Internal Medicine | 1451 N Gardner St # 31, Scottsburg, IN 47170-7751 | 2007-06-12 |
| 1689883811 | Medical Center Cardiologists, Psc | Internal Medicine | 1451 N Gardner Hwy 31, Scottsburg, IN 47170 | 2007-05-22 |
| 1518176486 | Medical Center Cardiologists, Psc | Internal Medicine | 213 Hunter Station Rd, Sellersburg, IN 47172-1879 | 2007-05-21 |
| 1841372869 | Fei Lu | Internal Medicine | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545 | 2006-10-19 |
| 1497704514 | Cardiospecialists Group, Ltd | Internal Medicine | 2150 Gettler St, Suite 122, Dyer, IN 46311-2380 | 2006-05-08 |
| 1194700500 | Leonard Alan Steinberg | Internal Medicine | 8333 Naab Rd Ste 320, Indianapolis, IN 46260-1983 | 2005-12-08 |
| 1417939885 | Raghuram Dasari | Internal Medicine | 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383-8948 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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| 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.