DR. STEPHANIE REED FALATKO (NPI# 1225321664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225321664 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE REED FALATKO |
| Credential | D.O. |
| Practice Address |
11104 Parkview Circle Dr Ste 110 Fort Wayne IN 46845 |
| Mailing Address |
3702 New Vision Dr Bldg B Fort Wayne IN 46845-1703 |
| Practice Telephone | 2604256780 |
| Practice Fax Number | 2604256615 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 02005129A | IN | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | DO.1608 | AL | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 5101018873 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 619 19th St S, Birmingham, AL 352491900 | 2059344011 |
| Street Address |
11104 PARKVIEW CIRCLE DR STE 110 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681254 | Frances R. Goff | Clinical Neuropsychologist | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1730 | 2005-06-30 |
| 1164938007 | Brandon Emry | Registered Nurse | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2017-12-14 |
| 1750892675 | Curtis Lake | Physician Assistant | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2017-10-18 |
| 1033651260 | Caitlin Camp | Registered Nurse | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845 | 2016-11-04 |
| 1093102022 | Leah Dickstein | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2015-04-16 |
| 1699196519 | Erin Miles | Clinical Neuropsychologist | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2013-12-19 |
| 1164860052 | Jacob Thomas Lutz | Clinical Neuropsychologist | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2013-06-13 |
| 1467728378 | Usman Kareem Qadeer | Psychiatry & Neurology | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2012-03-25 |
| 1275806663 | Vivian L Appiarius | Nurse Practitioner | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2012-02-15 |
| 1659684488 | Shamir Haji | Internal Medicine | 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 46845-1673 | 2010-07-21 |
| Find all providers in the same location | ||||
| 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 | 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 |
| 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 |
| 1053302968 | Allied Physicians Inc., D/b/a Fort Wayne Neurosurgery | Neurological Surgery | 7910 W Jefferson Blvd, Suite 200, Fort Wayne, IN 46804-4159 | 2005-10-31 |
| Find all providers in FORT WAYNE | ||||
| 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.