BALTES CARDIOLOGY (NPI# 1174625065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174625065 |
| Entity Type | Organization |
| Organization Name | BALTES CARDIOLOGY |
| Practice Address |
821 Broadway Fort Wayne IN 46802-2107 |
| Practice Telephone | 2604390044 |
| Practice Fax Number | 2604227860 |
| Mailing Telephone | 2604390044 |
| Mailing Fax Number | 2604227860 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | WM EDWARD BALTES (MANAGING PARTNER) |
| Authorized Official Telephone | 2604390044 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01026188A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100059740A | 05 | |
| IN | BCBS | 303562034003 | 01 |
| IN | ANTHEM TPR | 000000090931 | 01 |
| IN | 100330950 | 05 | |
| IN | WEB ANTHEM | 000000090932 | 01 |
| IN | 100460500 | 05 | |
| IN | BCBS TPR | 295429889004 | 01 |
| Street Address |
821 BROADWAY |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1174899405 | Hearcare Connection, Inc. | Audiologist | 130 W Main St Ste 150, Fort Wayne, IN 46802 | 2012-03-30 |
| 1801114533 | Hoosier Sports & Chiropractic LLC | Chiropractor | 122 W Wayne Street, Fort Wayne, IN 46802 | 2010-05-05 |
| 1891912523 | Krista Lohmar | Speech-Language Pathologist | 3340 North Washington Road, Ft. Wayne, IL 46802 | 2007-04-20 |
| 1811047608 | Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. | Counselor | 915 South Clinton, Fort Wayne, IN 46802 | 2007-01-12 |
| 1548323801 | Clifford T Salk | Dentist | 122 W Washington Blvd, Fort Wayne, IN 46802 | 2006-12-18 |
| 1720155492 | Kristina Wise | Social Worker | 203 W Wayne St Ste 317, Fort Wayne, IN 46802 | 2006-11-29 |
| Find all providers in zip 46802 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1780919886 | Heart Care LLC | Internal Medicine | 7806 W Jefferson Blvd, Suite D, Fort Wayne, IN 46804-4180 | 2009-10-07 |
| 1003078312 | Dustin M Thomas | Internal Medicine | 11108 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2008-06-27 |
| 1922117571 | Louis Alfred Lopez | Internal Medicine | 604 W Berry St, Fort Wayne, IN 46802-2106 | 2006-08-29 |
| 1821068511 | Subhash Reddy | Internal Medicine | 7806 W Jefferson Blvd Ste D, Fort Wayne, IN 46804-4180 | 2006-01-25 |
| 1215917844 | Gary A. Hambel | Internal Medicine | 11108 Parkview Circle Dr., Fort Wayne, IN 46845-1730 | 2006-01-19 |
| 1932199627 | J. Rod Gimbel | Internal Medicine | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2005-10-25 |
| 1568464972 | Raymond E Dusman Jr. | Internal Medicine | 1819 Carew St, Fort Wayne, IN 46805-4705 | 2005-08-15 |
| 1427058825 | Motaz Shaher | Internal Medicine | 7916 W Jefferson Blvd, Fort Wayne, IN 46804 | 2005-07-28 |
| 1710986443 | Lawrence E Gering | Internal Medicine | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2005-07-15 |
| 1376833129 | Azriel Avezbadalov | Internal Medicine | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2011-04-13 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
Please comment or provide details below to improve the information on BALTES CARDIOLOGY.
| 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.