VIMAL JAYSWAL (NPI# 1124250915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124250915 |
| Entity Type | Individual |
| Full Name | VIMAL JAYSWAL |
| Credential | MD |
| Practice Address |
11123 Parkview Plaza Dr Ste 200 Fort Wayne IN 46845-1707 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2604256100 |
| Practice Fax Number | 2604256105 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 35.097422 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
01079115A | IN | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
01079115 | IN | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
35.097422 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0102438 | 05 |
| Street Address |
11123 PARKVIEW PLAZA DR STE 200 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664932 | Paul T. Stockmann | Surgery | 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1707 | 2005-07-28 |
| 1275092629 | Alda E. Taube | Registered Nurse | 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1707 | 2019-03-15 |
| 1063997146 | Emily Otter | Nurse Practitioner | 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1707 | 2018-09-25 |
| 1730450305 | Josette C. Klink | Nurse Practitioner | 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 | 2012-01-13 |
| 1528024783 | William A Loe Jr. | Surgery | 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417266818 | Gabriel Paris | Pediatrics | 707 N Michigan St Ste 316, South Bend, IN 46601-1070 | 2010-10-02 |
| 1114257052 | Children's Heart Care Clinic LLC | Pediatrics | 14328 Waterway Blvd, Fortville, IN 46040-9455 | 2009-12-26 |
| 1619971488 | Thomas Edward Capannari | Pediatrics | 707 N Michigan St, Ste 316, South Bend, IN 46601 | 2005-06-09 |
| 1619402005 | Leon Frank Przybylowski IIi | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2017-04-24 |
| 1194160804 | Ryan M. Serrano | Pediatrics | 705 Riley Hospital Dr, Ri 1134, Indianapolis, IN 46202-5109 | 2013-05-08 |
| 1396088787 | Erin K. Davis | Pediatrics | 707 N Michigan St Ste 316, South Bend, IN 46601-1070 | 2013-04-03 |
| 1366701690 | Nicholas Benjamin Zaban | Pediatrics | 705 Riley Hospital Dr, Suite Rr 127, Indianapolis, IN 46202-5109 | 2012-05-07 |
| 1114293024 | Andrew Lyle Rodenbarger | Pediatrics | 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202-5109 | 2012-03-25 |
| 1184903106 | Poonam M Puranik | Pediatrics | 705 Riley Hospital Dr, Ri 1134, Indianapolis, IN 46202-5109 | 2011-08-08 |
| 1669780029 | St Mary's Ohio Valley Heart Care, LLC | Pediatrics | 901 Saint Marys Dr, Ste 300, Evansville, IN 47714-0520 | 2010-09-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.