ALLIED PHYSICIANS INC (NPI# 1205098100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205098100 |
| Entity Type | Organization |
| Organization Name | ALLIED PHYSICIANS INC |
| Practice Address |
7956 W Jefferson Blvd Fort Wayne IN 46804-4140 |
| Practice Telephone | 2604362416 |
| Mailing Telephone | 2604362416 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2018-12-07 |
| Authorized Official Name | ISA S CANAVATI (PRESIDENT) |
| Authorized Official Telephone | 2604362416 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0515955 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 Fox Rd Ste 209, Van Wert, OH 458912492 | 2604362416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265601041 | Allied Physicians Inc | Physical Medicine & Rehabilitation | 2512 E Dupont Rd Ste 120, Fort Wayne, IN 46825-1609 | 2008-02-26 |
| 1922433614 | Allied Physicians Inc | Ophthalmology | 2510 E Dupont Rd Ste 128, Fort Wayne, IN 46825-1603 | 2013-09-12 |
| 1689995334 | Allied Physicians Inc | Clinical Neuropsychologist | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2010-06-17 |
| 1124297379 | Allied Physicians Inc | Neurological Surgery | 2622 Lake Ave, Fort Wayne, IN 46805-5410 | 2008-02-21 |
| 1649478744 | Allied Physicians Inc | Psychologist | 11104 Parkview Circle Dr, Ste 110, Fort Wayne, IN 46845-1730 | 2007-07-10 |
| 1083833297 | Allied Physicians Inc | Physical Medicine & Rehabilitation | 5750 Coventry Ln, Suite 101, Fort Wayne, IN 46804-7166 | 2007-04-25 |
| 1992741698 | Allied Physicians Inc | Otolaryngology | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 | 2006-06-21 |
| 1427031434 | Allied Physicians Inc | Audiologist | 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 | 2005-11-23 |
| 1366433476 | Allied Physicians Inc | Transplant Surgery | 7910 W Jefferson Blvd, Suite 102, Fort Wayne, IN 46804-4159 | 2005-10-31 |
| 1366433369 | Allied Physicians Inc | Clinical Neuropsychologist | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-10-31 |
| Street Address |
7956 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308413 | Isa S. Canavati | Neurological Surgery | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-06-30 |
| 1689283327 | Stephen Andrew Grote | Physician Assistant | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-29 |
| 1265041016 | Sara Mae Stout | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-07-28 |
| 1407481468 | Kathryn M. Mckible | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-03-10 |
| 1841824893 | Natasha L. Myers | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-02-28 |
| 1366901902 | Adrienne Michelle Evans | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2019-03-13 |
| 1952883084 | Kristin J. Abbs | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2018-09-05 |
| 1134655392 | Nirupama Esther Jerome | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2017-05-10 |
| 1609324342 | Melanie J. Heath | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2016-09-12 |
| 1164880605 | Jennifer Lynn Ritchie | Nurse Practitioner | 7956 W Jefferson Blvd, Fort Wayne, IN 46804 | 2016-01-28 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326411158 | Stephen B Schroeder | Neurological Surgery | 2318 Turnberry Lane, Fort Wayne, IN 46804 | 2015-11-02 |
| 1003062332 | Fort Wayne Care Inc | Neurological Surgery | 347 W Berry St, Suite 216, Fort Wayne, IN 46802-2299 | 2008-08-18 |
| 1952308413 | Isa S. Canavati | Neurological Surgery | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2005-06-30 |
| 1104823590 | Rudy A. Kachmann | Neurological Surgery | 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN 46804-4128 | 2005-06-30 |
| 1225321664 | Stephanie Reed Falatko | Neurological Surgery | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 | 2011-05-18 |
| 1700043023 | Jason M Voorhies | Neurological Surgery | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2008-05-22 |
| 1124297379 | Allied Physicians Inc | Neurological Surgery | 2622 Lake Ave, Fort Wayne, IN 46805-5410 | 2008-02-21 |
| 1437360732 | Rakesh Khatri | Neurological Surgery | 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804-4159 | 2007-05-25 |
| 1861603466 | Shahnawaz H. Qureshi | Neurological Surgery | 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-05-24 |
| 1811105364 | Guangbin Xia | Neurological Surgery | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2007-05-18 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
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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.