DR. ROBERT WAYNE DETTMER (NPI# 1326319724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326319724 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WAYNE DETTMER |
| Credential | M.D. |
| Practice Address |
2935 Ambleside Way Fort Wayne IN 46804-2443 |
| Practice Telephone | 2604597657 |
| Practice Fax Number | 2604597658 |
| Mailing Telephone | 2604597657 |
| Mailing Fax Number | 2604597658 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
01022140A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194074302 | Robert Franklin Dettmer Sr. | General Practice | 3 Longwood Lane, Ironton, MO 63650-0307 | 2012-09-04 |
| 1770625246 | Robert Franklin Dettmer | Registered Nurse | Cmr 442, Box 885, Heidelberg, GERMANY APO 09042 | 2007-02-13 |
| 1679648281 | Robert Dettmer | Internal Medicine | 32 Strawberry Hill Ct, Stamford, CT 06902-2594 | 2006-11-21 |
| Street Address |
2935 AMBLESIDE WAY |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-2443 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1225684368 | Fort Wayne Vascular Care LLC | Internal Medicine | 1833 Magnavox Way # 100, Fort Wayne, IN 46804-1539 | 2019-08-14 |
| 1801054358 | Maria Regina Valcarcel | Internal Medicine | 7836 W Jefferson Blvd Ste 101, Nephrology Associates of Northern Indiana, Fort Wayne, IN 46804-4178 | 2008-05-30 |
| 1013960269 | Greg R Johnson | Internal Medicine | 1900 Carew Street, Suite 3a, Fort Wayne, IN 46805-4765 | 2006-05-18 |
| 1710938592 | Swapna Joseph | Internal Medicine | 7836 W. Jefferson Blvd. Suite 101, Fort Wayne, IN 46804 | 2006-05-15 |
| 1396731212 | Guy Chadwick Asher Jr. | Internal Medicine | 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804-4165 | 2005-09-26 |
| 1013203561 | Abdurrahman M Hamadah | Internal Medicine | 7836 W Jefferson Blvd Ste 101, Fort Wayne, IN 46804-4178 | 2011-06-23 |
| 1619207941 | Richard Loy Nielsen | Internal Medicine | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2010-01-08 |
| 1659531325 | Muhammad Ubaid Ullah | Internal Medicine | 11104 Parkview Circle Dr, S-330, Fort Wayne, IN 46845-1672 | 2008-06-16 |
| 1558460378 | Three Rivers Medical Associates, LLC | Internal Medicine | 7910 W Jefferson Blvd, Fort Wayne, IN 46804-4159 | 2006-09-21 |
| 1568416865 | Andrew W O'shaughnessy | Internal Medicine | 7836 W Jefferson Blvd, Suite 101, Fort Wayne, IN 46804-4165 | 2006-05-20 |
| 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.