JAY FAWVER


Address: 6920 Pointe Inverness Way, #250, Fort Wayne, IN 46804-7926
Phone: 2604364060

JAY FAWVER (NPI# 1164457404) 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) 1164457404
Entity Type Individual
Full Name JAY FAWVER
Credential MD
Practice Address 6920 Pointe Inverness Way
#250
Fort Wayne
IN 46804-7926
Mailing Address 3926 New Vision Dr
Suite 1
Fort Wayne
IN 46845-1712
Practice Telephone 2604364060
Practice Fax Number 2604365713
Mailing Telephone 2602668210
Mailing Fax Number 2604585636
Enumeration Date 2006-07-12
Last Update Date 2017-02-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
01032403A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM BLUE CROSS 000000490037 01

Office Location

Street Address 6920 POINTE INVERNESS WAY
#250
City FORT WAYNE
State IN
Zip Code 46804-7926

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679549034 Veronica A Philbin Clinical Nurse Specialist 6920 Pointe Inverness Way, #250, Fort Wayne, IN 46804-7926 2006-02-27
1235587361 Joey Dehoff Nurse Practitioner 6920 Pointe Inverness Way, Suite 250, Fort Wayne, IN 46804-7938 2016-05-31
1174908719 Gloria Gaubatz Nurse Practitioner 6920 Pointe Inverness Way, Suite 250, Fort Wayne, IN 46804-7938 2015-07-24
1750722773 Sara Glassley Nurse Practitioner 6920 Pointe Inverness Way, Suite 250, Fort Wayne, IN 46804-7938 2013-07-08
1043650203 Jayne S Sloan Nurse Practitioner 6920 Pointe Inverness Way, Suite 250, Fort Wayne, IN 46804-7938 2013-07-02
1306129283 Laura Folds Nurse Practitioner 6920 Pointe Inverness Way, Suite 250, Fort Wayne, IN 46804-7926 2011-09-27
1720305782 Jeanette Deeanne Cochran Nurse Practitioner 6920 Pointe Inverness Way, Ste 250, Fort Wayne, IN 46804-7938 2010-04-29
1174536346 Fawver Waldo Clinic LLP Clinic/Center 6920 Pointe Inverness Way, Suite 250, Fort Wayne, IN 46804-7926 2006-08-15
1578583910 Psychiatric Innovations PC Psychiatry & Neurology 6920 Pointe Inverness Way, #250, Fort Wayne, IN 46804-7926 2006-07-20
1235164732 Carlene Mcclurg Nurse Practitioner 6920 Pointe Inverness Way, #250, Fort Wayne, IN 46804-7926 2006-07-12
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821597485 Advanced Neurology LLC Psychiatry & Neurology 1551 Sturdy Rd, Valparaiso, IN 46383-7883 2018-02-08
1831570019 Christopher Alexander Croswell Psychiatry & Neurology 1050 Reid Pkwy Ste 210, Richmond, IN 47374-1160 2015-06-14
1083984132 Franciscan Healthcare -munster Psychiatry & Neurology 7847 Calumet Ave, Munster, IN 46321-1213 2012-01-06
1568651511 George F Abu-aita Md PC Psychiatry & Neurology 200 East 89th Avenue, Suite 3b, Merrillville, IN 46410-7318 2007-10-16
1710997929 George F Abu-aita Psychiatry & Neurology 200 E 89th Ave, Suite 3b, Merrillville, IN 46410-7318 2006-08-09
1710969621 Jitendra N Sharma Psychiatry & Neurology 3611 S Reed Rd, Suite 101, Kokomo, IN 46902-3828 2005-11-16

Competitor

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City FORT WAYNE
Zip Code 46804

Improve Information

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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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