PLANNED PARENTHOOD OF INDIANA FORT WAYNE (NPI# 1104175900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104175900 |
| Entity Type | Organization |
| Organization Name | PLANNED PARENTHOOD OF INDIANA FORT WAYNE |
| Practice Address |
3914 W. Jefferson Blvd. Fort Wayne IN 46804 |
| Mailing Address |
200 S. Meridian St. Suite 400 Indianapolis IN 46225 |
| Practice Telephone | 2604231322 |
| Practice Fax Number | 2604232692 |
| Mailing Telephone | 3176374343 |
| Mailing Fax Number | 3176374344 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |
| Authorized Official Name | MS. SUANNAH WILSON OVERHOLT (VICE PRESIDENT, FINANCE & ADMINISTR) |
| Authorized Official Telephone | 3176374166 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PLANNED PARENTHOOD OF INDIANA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
01041899A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100326600 | 05 | |
| IN | 2002955610 | 05 |
| Street Address |
3914 W. JEFFERSON BLVD. |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891806402 | Fw Toenges & Sons Inc | Prosthetic/Orthotic Supplier | 3914 W. Jefferson Blvd., Fort Wayne, IN 46804-6812 | 2006-08-31 |
| 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 | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699193904 | New Hope Services, Inc. | Clinic/Center | 1302 Wall St, Jeffersonville, IN 47130-3885 | 2014-04-03 |
| 1144569070 | Indiana Family Health Council, Inc. | Clinic/Center | 151 N Delaware St Ste 520, Indianapolis, IN 46204-2535 | 2013-02-13 |
| 1477802270 | Planned Parenthood of Indiana Gary | Clinic/Center | 1124 Broadway, Gary, IN 46407 | 2012-09-07 |
| 1285983080 | Planned Parenthood of Indiana Bloomington | Clinic/Center | 421 S. College Ave., Bloomington, IN 47403-1514 | 2012-09-07 |
| 1649529447 | Planned Parenthood of Indiana Bedford | Clinic/Center | 717 Lincoln Ave, #g, Bedford, IN 47421-2145 | 2012-09-07 |
| 1124377924 | Planned Parenthood of Indiana Georgetown | Clinic/Center | 8590 Georgetown Rd., Indianapolis, IN 46268 | 2012-09-07 |
| 1316296114 | Planned Parenthood of Indiana Hammond | Clinic/Center | 7131 Indianapolis Blvd., Hammond, IN 46324 | 2012-09-07 |
| 1811246614 | Planned Parenthood of Indiana Columbus | Clinic/Center | 3200 Sycamore Court, Suite 2c, Columbus, IN 47203-1517 | 2012-09-07 |
| 1851640742 | Planned Parenthood of Indiana Madison | Clinic/Center | 200 Chifty Dr., Unit H, Madison, IN 47250-1658 | 2012-09-06 |
| 1881943769 | Planned Parenthood of Indiana Mishawaka | Clinic/Center | 3005 Grape Rd., #b, Mishawaka, IN 46545-2709 | 2012-09-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on PLANNED PARENTHOOD OF INDIANA FORT WAYNE.
| 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.