ORTHOPAEDICS NORTHEAST, PC (NPI# 1154380749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154380749 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDICS NORTHEAST, PC |
| Other Organization Name | SURGERY ONE |
| Practice Address |
7232 Engle Rd Fort Wayne IN 46804-2222 |
| Mailing Address |
5050 N Clinton St Fort Wayne IN 46825-5822 |
| Practice Telephone | 2604848551 |
| Practice Fax Number | 2604849603 |
| Mailing Telephone | 2604848551 |
| Mailing Fax Number | 2604849603 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAYMOND KUSISTO (CEO) |
| Authorized Official Telephone | 2604848551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
50001907A | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Surgery ONE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336109867 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 805 High St, Decatur, IN 46733-2324 | 2006-03-27 |
| 1457311995 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 605 N Walnut St, North Manchester, IN 46962-1857 | 2006-03-27 |
| 1548249386 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 11136 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2006-01-11 |
| 1609013028 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 1169 N Main St, Suite 7, Bluffton, IN 46714-1360 | 2009-01-08 |
| 1467407114 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 1169 N Main St, Suite 7, Bluffton, IN 46714-1360 | 2006-05-23 |
| 1265492706 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 885 W Connexion Way, Suite 100, Columbia City, IN 46725-1036 | 2006-03-27 |
| 1700846243 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 401 N Sawyer Rd, Kendallville, IN 46755-2568 | 2006-03-27 |
| 1043270002 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 7920 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804-4168 | 2006-03-24 |
| 1629037353 | Orthopaedics Northeast, PC | Orthopaedic Surgery | 710 N East St, Wabash, IN 46992-1914 | 2006-03-21 |
| 1649259607 | Orthopaedics Northeast, PC | Durable Medical Equipment & Medical Supplies | 2003 Stults Rd, Suite 210, Huntington, IN 46750-1291 | 2006-01-10 |
| Street Address |
7232 ENGLE RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489009 | Dawn D. Frederickson | Optometrist | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2005-07-01 |
| 1326657081 | Zachary Robert Felger | Optometrist | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2020-07-29 |
| 1548403074 | Brian Cottrell Miller | Ophthalmology | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2009-04-14 |
| 1669643847 | Anesthesia Consultants Inc | Clinic/Center | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2008-03-17 |
| 1538366463 | Ophthalmology Consultants of Fort Wayne | Optometrist | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2007-07-03 |
| 1972671386 | Ophthalmology Consultants of Fort Wayne PC | Eyewear Supplier (Equipment, not the service) | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2006-12-01 |
| 1326000423 | Julie Anne Manry | Optometrist | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2006-04-04 |
| 1861476210 | Ophthalmology Consultants of Fort Wayne, P.C. | Optometrist | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2005-11-30 |
| 1194708792 | Ophthalmology Consultants of Fort Wayne PC | Clinic/Center | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2005-11-29 |
| 1831196765 | Jeffrey D Hudson | Ophthalmology | 7232 Engle Rd, Fort Wayne, IN 46804-2222 | 2005-07-07 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791272 | Parkview Health System, Inc. | Clinic/Center | 8004 Carnegie Blvd, Fort Wayne, IN 46804-5785 | 2020-02-11 |
| 1881871580 | Fort Wayne Ophthalmic Surgical Center, PC | Clinic/Center | 321 E. Wayne Street, Fort Wayne, IN 46802-2713 | 2008-01-24 |
| 1114950292 | Mgfw Surgery Center, LLC | Clinic/Center | 7916 W. Jefferson Blvd., Ste 100, Fort Wayne, IN 46804 | 2006-07-09 |
| 1144275629 | Foundation Surgery Affiliate of Fort Wayne, LLC | Clinic/Center | 8004 Carnegie Blvd., Fort Wayne, IN 46804-5785 | 2006-05-23 |
| 1417936477 | Orthopaedics Northeast PC | Clinic/Center | 11420 Parkview Circle Dr, Fort Wayne, IN 46845-1729 | 2006-01-10 |
| 1780218115 | Surgery Center of Fort Wayne | Clinic/Center | 1721 Magnavox Way, Fort Wayne, IN 46804-1537 | 2020-02-25 |
| 1063757227 | Parkview Ortho Center, LLC | Clinic/Center | 11420 Parkview Circle Dr, Fort Wayne, IN 46845-1729 | 2012-11-29 |
| 1588991228 | The Eye Surgical Center of Fort Wayne, LLC | Clinic/Center | 321 E Wayne St, Fort Wayne, IN 46802-2713 | 2009-11-17 |
| 1295749117 | Ft Wayne Cardiac Center LLC | Clinic/Center | 7910 W Jefferson Blvd, Ste. 120, Fort Wayne, IN 46804-4159 | 2006-07-28 |
| 1790709376 | Premier Surgery Center LLC | Clinic/Center | 11141 Parkview Plaza Dr, Suite 200, Fort Wayne, IN 46845-1701 | 2006-07-27 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on ORTHOPAEDICS NORTHEAST, PC.
| 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.