NEAL AGEE (NPI# 1295005395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295005395 |
Entity Type | Individual |
Full Name | NEAL AGEE |
Credential | MD |
Practice Address |
7910 W Jefferson Blvd Ste 112 Fort Wayne IN 46804-4159 |
Mailing Address |
6920 Pointe Inverness Way Ste 200 Medpartners, Attn: Barb Copeland Fort Wayne IN 46804-7934 |
Practice Telephone | 2609697121 |
Practice Fax Number | 2604364292 |
Mailing Telephone | 2604793514 |
Mailing Fax Number | 2604793520 |
Enumeration Date | 2012-01-05 |
Last Update Date | 2020-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
01074527A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201255420 | 05 |
Street Address |
7910 W JEFFERSON BLVD STE 112 |
City | FORT WAYNE |
State | IN |
Zip Code | 46804-4159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205117454 | Deanna L. Massie | Clinical Nurse Specialist | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2011-09-01 |
1932673167 | Rebecca Ruth Krull Brown | Nurse Practitioner | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2019-01-22 |
1164813481 | Tara Sipe | Nurse Practitioner | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2015-02-09 |
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 | 2086X0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Oncology |
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366544868 | Rhys Thomas Schmidt IIi | Surgery | 8240 Naab Rd Ste 320, Indianapolis, IN 46260-1987 | 2006-09-04 |
1871892208 | Fiona Noelle Denham | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2011-03-24 |
1861625709 | St. Francis Hospital and Health Centers | Surgery | 5255 E Stop 11 Rd, Suite 250, Indianapolis, IN 46237-6340 | 2009-08-26 |
1437399987 | Jeremy Lee Davis | Surgery | 545 Barnhill Dr, Eh 202, Indianapolis, IN 46202-5112 | 2009-02-24 |
1902063282 | Jack W Rostas IIi | Surgery | 1314 E Walnut St, Washington, IN 47501-2860 | 2008-05-22 |
1528232451 | Michael G House | Surgery | 550 N University Blvd., Suite 1295, Indianapolis, IN 46202-5149 | 2008-04-22 |
1073703260 | Timothy A Goedde Md PC | Surgery | 7430 N Shadeland Ave, Suite 230, Indianapolis, IN 46250-2036 | 2007-07-25 |
1477505071 | Mary A Maluccio | Surgery | 550 University Blvd, Uh4601, Indianapolis, IN 46202-5149 | 2006-05-16 |
1992704449 | Leonard R Henry | Surgery | 200 High Park Ave, Goshen, IN 46526-4810 | 2005-07-18 |
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.